|
HC TEG-MEYER CANNULATOR
|
Facility
|
OP
|
$82.00
|
|
| Hospital Charge Code |
909001097
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$73.80 |
| Rate for Payer: Adventist Health Commercial |
$16.40
|
| Rate for Payer: Aetna of CA HMO/PPO |
$49.80
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$69.70
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$45.10
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$61.50
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$47.70
|
| Rate for Payer: Blue Shield of California Commercial |
$51.99
|
| Rate for Payer: Blue Shield of California EPN |
$32.72
|
| Rate for Payer: Cash Price |
$36.90
|
| Rate for Payer: Central Health Plan Commercial |
$65.60
|
| Rate for Payer: Cigna of CA HMO |
$52.48
|
| Rate for Payer: Cigna of CA PPO |
$60.68
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$69.70
|
| Rate for Payer: Dignity Health Medi-Cal |
$69.70
|
| Rate for Payer: Dignity Health Medicare Advantage |
$69.70
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.80
|
| Rate for Payer: EPIC Health Plan Senior |
$32.80
|
| Rate for Payer: Galaxy Health WC |
$69.70
|
| Rate for Payer: Global Benefits Group Commercial |
$49.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$73.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.07
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$29.77
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$57.40
|
| Rate for Payer: Multiplan Commercial |
$61.50
|
| Rate for Payer: Networks By Design Commercial |
$53.30
|
| Rate for Payer: Prime Health Services Commercial |
$69.70
|
| Rate for Payer: Riverside University Health System MISP |
$32.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$49.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$49.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$41.00
|
| Rate for Payer: United Healthcare All Other HMO |
$41.00
|
| Rate for Payer: United Healthcare HMO Rider |
$41.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$41.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$69.70
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$69.70
|
| Rate for Payer: Vantage Medical Group Senior |
$69.70
|
|
|
HC TEG-MEYER CANNULATOR
|
Facility
|
IP
|
$82.00
|
|
| Hospital Charge Code |
909001097
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$73.80 |
| Rate for Payer: Adventist Health Commercial |
$16.40
|
| Rate for Payer: Cash Price |
$36.90
|
| Rate for Payer: Central Health Plan Commercial |
$65.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$57.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$32.80
|
| Rate for Payer: EPIC Health Plan Senior |
$32.80
|
| Rate for Payer: Galaxy Health WC |
$69.70
|
| Rate for Payer: Global Benefits Group Commercial |
$49.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$73.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$52.07
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$48.38
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16.40
|
| Rate for Payer: Multiplan Commercial |
$61.50
|
| Rate for Payer: Networks By Design Commercial |
$53.30
|
| Rate for Payer: Prime Health Services Commercial |
$69.70
|
|
|
HC TELETHERAPY ISODOSE PLAN COMPLEX
|
Facility
|
IP
|
$3,820.00
|
|
|
Service Code
|
CPT 77307
|
| Hospital Charge Code |
909177307
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$764.00 |
| Max. Negotiated Rate |
$3,438.00 |
| Rate for Payer: Adventist Health Commercial |
$764.00
|
| Rate for Payer: Cash Price |
$1,719.00
|
| Rate for Payer: Central Health Plan Commercial |
$3,056.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,674.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,528.00
|
| Rate for Payer: EPIC Health Plan Senior |
$1,528.00
|
| Rate for Payer: Galaxy Health WC |
$3,247.00
|
| Rate for Payer: Global Benefits Group Commercial |
$2,292.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,438.00
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,425.70
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,253.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$764.00
|
| Rate for Payer: Multiplan Commercial |
$2,865.00
|
| Rate for Payer: Networks By Design Commercial |
$2,483.00
|
| Rate for Payer: Prime Health Services Commercial |
$3,247.00
|
|
|
HC TELETHERAPY ISODOSE PLAN COMPLEX
|
Facility
|
OP
|
$3,820.00
|
|
|
Service Code
|
CPT 77307
|
| Hospital Charge Code |
909177307
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$431.94 |
| Max. Negotiated Rate |
$3,438.00 |
| Rate for Payer: Adventist Health Commercial |
$764.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$481.58
|
| Rate for Payer: Aetna of CA HMO/PPO |
$812.61
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$722.37
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$529.74
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$481.58
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$969.50
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$1,347.84
|
| Rate for Payer: Blue Shield of California Commercial |
$2,406.60
|
| Rate for Payer: Blue Shield of California EPN |
$1,516.54
|
| Rate for Payer: Cash Price |
$1,719.00
|
| Rate for Payer: Cash Price |
$1,719.00
|
| Rate for Payer: Cash Price |
$1,719.00
|
| Rate for Payer: Central Health Plan Commercial |
$3,056.00
|
| Rate for Payer: Cigna of CA HMO |
$2,444.80
|
| Rate for Payer: Cigna of CA PPO |
$2,826.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$722.37
|
| Rate for Payer: Dignity Health Medi-Cal |
$529.74
|
| Rate for Payer: Dignity Health Medicare Advantage |
$481.58
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,674.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$794.61
|
| Rate for Payer: EPIC Health Plan Senior |
$529.74
|
| Rate for Payer: Galaxy Health WC |
$3,247.00
|
| Rate for Payer: Global Benefits Group Commercial |
$2,292.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,438.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$789.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$431.94
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$481.58
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,425.70
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$477.15
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$674.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$764.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$645.32
|
| Rate for Payer: Multiplan Commercial |
$2,865.00
|
| Rate for Payer: Networks By Design Commercial |
$2,483.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$481.58
|
| Rate for Payer: Prime Health Services Commercial |
$3,247.00
|
| Rate for Payer: Prime Health Services Medicare |
$510.47
|
| Rate for Payer: Riverside University Health System MISP |
$529.74
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,292.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,748.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,759.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,332.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,221.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$481.58
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$722.37
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$529.74
|
| Rate for Payer: Vantage Medical Group Senior |
$481.58
|
|
|
HC TELETHERAPY ISODOSE PLANSIMPLE
|
Facility
|
IP
|
$2,087.00
|
|
|
Service Code
|
CPT 77306
|
| Hospital Charge Code |
909177306
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$417.40 |
| Max. Negotiated Rate |
$1,878.30 |
| Rate for Payer: Adventist Health Commercial |
$417.40
|
| Rate for Payer: Cash Price |
$939.15
|
| Rate for Payer: Central Health Plan Commercial |
$1,669.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,460.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$834.80
|
| Rate for Payer: EPIC Health Plan Senior |
$834.80
|
| Rate for Payer: Galaxy Health WC |
$1,773.95
|
| Rate for Payer: Global Benefits Group Commercial |
$1,252.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,878.30
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,325.24
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,231.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$417.40
|
| Rate for Payer: Multiplan Commercial |
$1,565.25
|
| Rate for Payer: Networks By Design Commercial |
$1,356.55
|
| Rate for Payer: Prime Health Services Commercial |
$1,773.95
|
|
|
HC TELETHERAPY ISODOSE PLANSIMPLE
|
Facility
|
OP
|
$2,087.00
|
|
|
Service Code
|
CPT 77306
|
| Hospital Charge Code |
909177306
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$221.36 |
| Max. Negotiated Rate |
$1,878.30 |
| Rate for Payer: Adventist Health Commercial |
$417.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$481.58
|
| Rate for Payer: Aetna of CA HMO/PPO |
$443.37
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$722.37
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$529.74
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$481.58
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$529.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$735.78
|
| Rate for Payer: Blue Shield of California Commercial |
$1,314.81
|
| Rate for Payer: Blue Shield of California EPN |
$828.54
|
| Rate for Payer: Cash Price |
$939.15
|
| Rate for Payer: Cash Price |
$939.15
|
| Rate for Payer: Cash Price |
$939.15
|
| Rate for Payer: Central Health Plan Commercial |
$1,669.60
|
| Rate for Payer: Cigna of CA HMO |
$1,335.68
|
| Rate for Payer: Cigna of CA PPO |
$1,544.38
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$722.37
|
| Rate for Payer: Dignity Health Medi-Cal |
$529.74
|
| Rate for Payer: Dignity Health Medicare Advantage |
$481.58
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$1,460.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$794.61
|
| Rate for Payer: EPIC Health Plan Senior |
$529.74
|
| Rate for Payer: Galaxy Health WC |
$1,773.95
|
| Rate for Payer: Global Benefits Group Commercial |
$1,252.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,878.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$789.79
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$221.36
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$481.58
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$1,325.24
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$244.53
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$674.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$417.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$645.32
|
| Rate for Payer: Multiplan Commercial |
$1,565.25
|
| Rate for Payer: Networks By Design Commercial |
$1,356.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$481.58
|
| Rate for Payer: Prime Health Services Commercial |
$1,773.95
|
| Rate for Payer: Prime Health Services Medicare |
$510.47
|
| Rate for Payer: Riverside University Health System MISP |
$529.74
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,252.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,748.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,759.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,332.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,221.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$481.58
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$722.37
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$529.74
|
| Rate for Payer: Vantage Medical Group Senior |
$481.58
|
|
|
HC TEMP CLOSURE/EYELIDS BY SUTURE
|
Facility
|
OP
|
$5,649.00
|
|
|
Service Code
|
CPT 67875
|
| Hospital Charge Code |
900501425
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$1,129.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,923.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,410.37
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,282.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$1,960.77
|
| Rate for Payer: Cash Price |
$2,542.05
|
| Rate for Payer: Cash Price |
$2,542.05
|
| Rate for Payer: Cash Price |
$2,542.05
|
| Rate for Payer: Cash Price |
$2,542.05
|
| Rate for Payer: Central Health Plan Commercial |
$4,519.20
|
| Rate for Payer: Cigna of CA HMO |
$3,615.36
|
| Rate for Payer: Cigna of CA PPO |
$4,180.26
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,923.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,410.37
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,282.15
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,954.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,115.55
|
| Rate for Payer: EPIC Health Plan Senior |
$1,410.37
|
| Rate for Payer: Galaxy Health WC |
$4,801.65
|
| Rate for Payer: Global Benefits Group Commercial |
$3,389.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,084.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,102.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,282.15
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,587.11
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$400.37
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,378.31
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,129.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,718.08
|
| Rate for Payer: Multiplan Commercial |
$4,236.75
|
| Rate for Payer: Multiplan WC |
$1,960.77
|
| Rate for Payer: Networks By Design Commercial |
$3,671.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,282.15
|
| Rate for Payer: Preferred Health Network WC |
$2,000.79
|
| Rate for Payer: Prime Health Services Commercial |
$4,801.65
|
| Rate for Payer: Prime Health Services Medicare |
$1,359.08
|
| Rate for Payer: Prime Health Services WC |
$1,940.77
|
| Rate for Payer: Riverside University Health System MISP |
$1,410.37
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,389.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,824.50
|
| Rate for Payer: United Healthcare All Other HMO |
$2,824.50
|
| Rate for Payer: United Healthcare HMO Rider |
$2,824.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,824.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,282.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,923.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,410.37
|
| Rate for Payer: Vantage Medical Group Senior |
$1,282.15
|
|
|
HC TEMP CLOSURE/EYELIDS BY SUTURE
|
Facility
|
IP
|
$5,649.00
|
|
|
Service Code
|
CPT 67875
|
| Hospital Charge Code |
900501425
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$1,129.80 |
| Max. Negotiated Rate |
$5,084.10 |
| Rate for Payer: Adventist Health Commercial |
$1,129.80
|
| Rate for Payer: Cash Price |
$2,542.05
|
| Rate for Payer: Central Health Plan Commercial |
$4,519.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,954.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,259.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,259.60
|
| Rate for Payer: Galaxy Health WC |
$4,801.65
|
| Rate for Payer: Global Benefits Group Commercial |
$3,389.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,084.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,587.11
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,332.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,129.80
|
| Rate for Payer: Multiplan Commercial |
$4,236.75
|
| Rate for Payer: Networks By Design Commercial |
$3,671.85
|
| Rate for Payer: Prime Health Services Commercial |
$4,801.65
|
|
|
HC TEMP CLOSURE/EYELIDS BY SUTURE
|
Facility
|
OP
|
$5,649.00
|
|
|
Service Code
|
CPT 67875
|
| Hospital Charge Code |
900501425
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$2,316.09
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$521.53
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,923.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$1,410.37
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$1,282.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$1,960.77
|
| Rate for Payer: Cash Price |
$2,542.05
|
| Rate for Payer: Cash Price |
$2,542.05
|
| Rate for Payer: Cash Price |
$2,542.05
|
| Rate for Payer: Cash Price |
$2,542.05
|
| Rate for Payer: Central Health Plan Commercial |
$4,519.20
|
| Rate for Payer: Cigna of CA HMO |
$3,615.36
|
| Rate for Payer: Cigna of CA PPO |
$4,180.26
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,923.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$1,410.37
|
| Rate for Payer: Dignity Health Medicare Advantage |
$1,282.15
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,954.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,115.55
|
| Rate for Payer: EPIC Health Plan Senior |
$1,410.37
|
| Rate for Payer: Galaxy Health WC |
$4,801.65
|
| Rate for Payer: Global Benefits Group Commercial |
$3,389.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,084.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,102.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$1,282.15
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,587.11
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$400.37
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$1,378.31
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,129.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,718.08
|
| Rate for Payer: Multiplan Commercial |
$4,236.75
|
| Rate for Payer: Multiplan WC |
$1,960.77
|
| Rate for Payer: Networks By Design Commercial |
$3,671.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$1,282.15
|
| Rate for Payer: Preferred Health Network WC |
$2,000.79
|
| Rate for Payer: Prime Health Services Commercial |
$4,801.65
|
| Rate for Payer: Prime Health Services Medicare |
$1,359.08
|
| Rate for Payer: Prime Health Services WC |
$1,940.77
|
| Rate for Payer: Riverside University Health System MISP |
$1,410.37
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$3,389.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$3,389.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$1,282.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,923.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,410.37
|
| Rate for Payer: Vantage Medical Group Senior |
$1,282.15
|
|
|
HC TEMP CLOSURE/EYELIDS BY SUTURE
|
Facility
|
IP
|
$5,649.00
|
|
|
Service Code
|
CPT 67875
|
| Hospital Charge Code |
900501425
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,129.80 |
| Max. Negotiated Rate |
$5,084.10 |
| Rate for Payer: Adventist Health Commercial |
$1,129.80
|
| Rate for Payer: Cash Price |
$2,542.05
|
| Rate for Payer: Central Health Plan Commercial |
$4,519.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$3,954.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,259.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,259.60
|
| Rate for Payer: Galaxy Health WC |
$4,801.65
|
| Rate for Payer: Global Benefits Group Commercial |
$3,389.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$5,084.10
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$3,587.11
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$3,332.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,129.80
|
| Rate for Payer: Multiplan Commercial |
$4,236.75
|
| Rate for Payer: Networks By Design Commercial |
$3,671.85
|
| Rate for Payer: Prime Health Services Commercial |
$4,801.65
|
|
|
HC TEMP INSERT LEAD PCMKR DUAL
|
Facility
|
IP
|
$12,445.00
|
|
|
Service Code
|
CPT 33211
|
| Hospital Charge Code |
906811356
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$2,489.00 |
| Max. Negotiated Rate |
$11,200.50 |
| Rate for Payer: Adventist Health Commercial |
$2,489.00
|
| Rate for Payer: Cash Price |
$5,600.25
|
| Rate for Payer: Central Health Plan Commercial |
$9,956.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,711.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,978.00
|
| Rate for Payer: EPIC Health Plan Senior |
$4,978.00
|
| Rate for Payer: Galaxy Health WC |
$10,578.25
|
| Rate for Payer: Global Benefits Group Commercial |
$7,467.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,200.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,902.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$7,342.55
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,489.00
|
| Rate for Payer: Multiplan Commercial |
$9,333.75
|
| Rate for Payer: Networks By Design Commercial |
$8,089.25
|
| Rate for Payer: Prime Health Services Commercial |
$10,578.25
|
|
|
HC TEMP INSERT LEAD PCMKR DUAL
|
Facility
|
OP
|
$12,445.00
|
|
|
Service Code
|
CPT 33211
|
| Hospital Charge Code |
906811356
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$333.17 |
| Max. Negotiated Rate |
$17,561.82 |
| Rate for Payer: Adventist Health Commercial |
$2,489.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$11,707.88
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$10,643.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,074.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,754.51
|
| Rate for Payer: Cash Price |
$5,600.25
|
| Rate for Payer: Cash Price |
$5,600.25
|
| Rate for Payer: Cash Price |
$5,600.25
|
| Rate for Payer: Cash Price |
$5,600.25
|
| Rate for Payer: Central Health Plan Commercial |
$9,956.00
|
| Rate for Payer: Cigna of CA HMO |
$7,964.80
|
| Rate for Payer: Cigna of CA PPO |
$9,209.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$11,707.88
|
| Rate for Payer: Dignity Health Medicare Advantage |
$10,643.53
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,711.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,561.82
|
| Rate for Payer: EPIC Health Plan Senior |
$11,707.88
|
| Rate for Payer: Galaxy Health WC |
$10,578.25
|
| Rate for Payer: Global Benefits Group Commercial |
$7,467.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,200.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,455.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,643.53
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,902.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$333.17
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11,441.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,489.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$14,262.33
|
| Rate for Payer: Multiplan Commercial |
$9,333.75
|
| Rate for Payer: Multiplan WC |
$16,754.51
|
| Rate for Payer: Networks By Design Commercial |
$8,089.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,643.53
|
| Rate for Payer: Preferred Health Network WC |
$17,096.44
|
| Rate for Payer: Prime Health Services Commercial |
$10,578.25
|
| Rate for Payer: Prime Health Services Medicare |
$11,282.14
|
| Rate for Payer: Prime Health Services WC |
$16,583.55
|
| Rate for Payer: Riverside University Health System MISP |
$11,707.88
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,467.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,222.50
|
| Rate for Payer: United Healthcare All Other HMO |
$6,222.50
|
| Rate for Payer: United Healthcare HMO Rider |
$6,222.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,222.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$10,643.53
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,707.88
|
| Rate for Payer: Vantage Medical Group Senior |
$10,643.53
|
|
|
HC TEMP INSERT LEAD PCMKR DUAL
|
Facility
|
IP
|
$12,445.00
|
|
|
Service Code
|
CPT 33211
|
| Hospital Charge Code |
906811356
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,489.00 |
| Max. Negotiated Rate |
$11,200.50 |
| Rate for Payer: Adventist Health Commercial |
$2,489.00
|
| Rate for Payer: Cash Price |
$5,600.25
|
| Rate for Payer: Central Health Plan Commercial |
$9,956.00
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,711.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,978.00
|
| Rate for Payer: EPIC Health Plan Senior |
$4,978.00
|
| Rate for Payer: Galaxy Health WC |
$10,578.25
|
| Rate for Payer: Global Benefits Group Commercial |
$7,467.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,200.50
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,902.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$7,342.55
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,489.00
|
| Rate for Payer: Multiplan Commercial |
$9,333.75
|
| Rate for Payer: Networks By Design Commercial |
$8,089.25
|
| Rate for Payer: Prime Health Services Commercial |
$10,578.25
|
|
|
HC TEMP INSERT LEAD PCMKR DUAL
|
Facility
|
OP
|
$12,445.00
|
|
|
Service Code
|
CPT 33211
|
| Hospital Charge Code |
906811356
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$301.60 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$2,489.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$10,643.53
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$11,707.88
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$10,643.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,074.00
|
| Rate for Payer: Blue Shield of California Commercial |
$13,231.02
|
| Rate for Payer: Blue Shield of California EPN |
$8,315.83
|
| Rate for Payer: Cash Price |
$5,600.25
|
| Rate for Payer: Cash Price |
$5,600.25
|
| Rate for Payer: Cash Price |
$5,600.25
|
| Rate for Payer: Central Health Plan Commercial |
$9,956.00
|
| Rate for Payer: Cigna of CA HMO |
$8,089.25
|
| Rate for Payer: Cigna of CA PPO |
$9,209.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$11,707.88
|
| Rate for Payer: Dignity Health Medicare Advantage |
$10,643.53
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,711.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,561.82
|
| Rate for Payer: EPIC Health Plan Senior |
$11,707.88
|
| Rate for Payer: Galaxy Health WC |
$10,578.25
|
| Rate for Payer: Global Benefits Group Commercial |
$7,467.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,200.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,455.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$301.60
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,643.53
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,902.57
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$333.17
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$14,900.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,489.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$14,262.33
|
| Rate for Payer: Multiplan Commercial |
$9,333.75
|
| Rate for Payer: Networks By Design Commercial |
$8,089.25
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,643.53
|
| Rate for Payer: Prime Health Services Commercial |
$10,578.25
|
| Rate for Payer: Prime Health Services Medicare |
$11,282.14
|
| Rate for Payer: Riverside University Health System MISP |
$11,707.88
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,467.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7,467.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,222.50
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$10,643.53
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,707.88
|
| Rate for Payer: Vantage Medical Group Senior |
$10,643.53
|
|
|
HC TEMP INSERT LEAD PCMKR SNGL
|
Facility
|
OP
|
$11,852.00
|
|
|
Service Code
|
CPT 33210
|
| Hospital Charge Code |
906811309
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$448.25 |
| Max. Negotiated Rate |
$28,817.00 |
| Rate for Payer: Adventist Health Commercial |
$2,370.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$10,643.53
|
| Rate for Payer: Aetna of CA HMO/PPO |
$27,467.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$11,707.88
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$10,643.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,074.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,754.51
|
| Rate for Payer: Blue Shield of California Commercial |
$13,231.02
|
| Rate for Payer: Blue Shield of California EPN |
$8,315.83
|
| Rate for Payer: Cash Price |
$5,333.40
|
| Rate for Payer: Cash Price |
$5,333.40
|
| Rate for Payer: Cash Price |
$5,333.40
|
| Rate for Payer: Central Health Plan Commercial |
$9,481.60
|
| Rate for Payer: Cigna of CA HMO |
$7,585.28
|
| Rate for Payer: Cigna of CA PPO |
$8,770.48
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$11,707.88
|
| Rate for Payer: Dignity Health Medicare Advantage |
$10,643.53
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,296.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,561.82
|
| Rate for Payer: EPIC Health Plan Senior |
$11,707.88
|
| Rate for Payer: Galaxy Health WC |
$10,074.20
|
| Rate for Payer: Global Benefits Group Commercial |
$7,111.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,666.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,455.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$448.25
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,643.53
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,526.02
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$495.16
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$14,900.94
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,370.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$14,262.33
|
| Rate for Payer: Multiplan Commercial |
$8,889.00
|
| Rate for Payer: Multiplan WC |
$16,754.51
|
| Rate for Payer: Networks By Design Commercial |
$7,703.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,643.53
|
| Rate for Payer: Preferred Health Network WC |
$17,096.44
|
| Rate for Payer: Prime Health Services Commercial |
$10,074.20
|
| Rate for Payer: Prime Health Services Medicare |
$11,282.14
|
| Rate for Payer: Prime Health Services WC |
$16,583.55
|
| Rate for Payer: Riverside University Health System MISP |
$11,707.88
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,111.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,926.00
|
| Rate for Payer: United Healthcare All Other HMO |
$28,817.00
|
| Rate for Payer: United Healthcare HMO Rider |
$18,075.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16,561.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$10,643.53
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,707.88
|
| Rate for Payer: Vantage Medical Group Senior |
$10,643.53
|
|
|
HC TEMP INSERT LEAD PCMKR SNGL
|
Facility
|
IP
|
$11,852.00
|
|
|
Service Code
|
CPT 33210
|
| Hospital Charge Code |
906811309
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,370.40 |
| Max. Negotiated Rate |
$10,666.80 |
| Rate for Payer: Adventist Health Commercial |
$2,370.40
|
| Rate for Payer: Cash Price |
$5,333.40
|
| Rate for Payer: Central Health Plan Commercial |
$9,481.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,296.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,740.80
|
| Rate for Payer: EPIC Health Plan Senior |
$4,740.80
|
| Rate for Payer: Galaxy Health WC |
$10,074.20
|
| Rate for Payer: Global Benefits Group Commercial |
$7,111.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,666.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,526.02
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,992.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,370.40
|
| Rate for Payer: Multiplan Commercial |
$8,889.00
|
| Rate for Payer: Networks By Design Commercial |
$7,703.80
|
| Rate for Payer: Prime Health Services Commercial |
$10,074.20
|
|
|
HC TEMP INSERT LEAD PCMKR SNGL
|
Facility
|
IP
|
$11,852.00
|
|
|
Service Code
|
CPT 33210
|
| Hospital Charge Code |
906811309
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,370.40 |
| Max. Negotiated Rate |
$10,666.80 |
| Rate for Payer: Adventist Health Commercial |
$2,370.40
|
| Rate for Payer: Cash Price |
$5,333.40
|
| Rate for Payer: Central Health Plan Commercial |
$9,481.60
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,296.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,740.80
|
| Rate for Payer: EPIC Health Plan Senior |
$4,740.80
|
| Rate for Payer: Galaxy Health WC |
$10,074.20
|
| Rate for Payer: Global Benefits Group Commercial |
$7,111.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,666.80
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,526.02
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$6,992.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,370.40
|
| Rate for Payer: Multiplan Commercial |
$8,889.00
|
| Rate for Payer: Networks By Design Commercial |
$7,703.80
|
| Rate for Payer: Prime Health Services Commercial |
$10,074.20
|
|
|
HC TEMP INSERT LEAD PCMKR SNGL
|
Facility
|
OP
|
$11,852.00
|
|
|
Service Code
|
CPT 33210
|
| Hospital Charge Code |
906811309
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$17,561.82 |
| Rate for Payer: Adventist Health Commercial |
$2,370.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$11,707.88
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$10,643.53
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,074.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$16,754.51
|
| Rate for Payer: Cash Price |
$5,333.40
|
| Rate for Payer: Cash Price |
$5,333.40
|
| Rate for Payer: Cash Price |
$5,333.40
|
| Rate for Payer: Cash Price |
$5,333.40
|
| Rate for Payer: Central Health Plan Commercial |
$9,481.60
|
| Rate for Payer: Cigna of CA HMO |
$7,585.28
|
| Rate for Payer: Cigna of CA PPO |
$8,770.48
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Dignity Health Medi-Cal |
$11,707.88
|
| Rate for Payer: Dignity Health Medicare Advantage |
$10,643.53
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$8,296.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,561.82
|
| Rate for Payer: EPIC Health Plan Senior |
$11,707.88
|
| Rate for Payer: Galaxy Health WC |
$10,074.20
|
| Rate for Payer: Global Benefits Group Commercial |
$7,111.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$10,666.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,455.39
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$10,643.53
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$7,526.02
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$495.16
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$11,441.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,370.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$14,262.33
|
| Rate for Payer: Multiplan Commercial |
$8,889.00
|
| Rate for Payer: Multiplan WC |
$16,754.51
|
| Rate for Payer: Networks By Design Commercial |
$7,703.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$10,643.53
|
| Rate for Payer: Preferred Health Network WC |
$17,096.44
|
| Rate for Payer: Prime Health Services Commercial |
$10,074.20
|
| Rate for Payer: Prime Health Services Medicare |
$11,282.14
|
| Rate for Payer: Prime Health Services WC |
$16,583.55
|
| Rate for Payer: Riverside University Health System MISP |
$11,707.88
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,111.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$5,926.00
|
| Rate for Payer: United Healthcare All Other HMO |
$5,926.00
|
| Rate for Payer: United Healthcare HMO Rider |
$5,926.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5,926.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$10,643.53
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,965.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,707.88
|
| Rate for Payer: Vantage Medical Group Senior |
$10,643.53
|
|
|
HC TEMP TRANSCUTANEOUS PACING
|
Facility
|
IP
|
$4,063.00
|
|
|
Service Code
|
CPT 92953
|
| Hospital Charge Code |
906811141
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$812.60 |
| Max. Negotiated Rate |
$3,656.70 |
| Rate for Payer: Adventist Health Commercial |
$812.60
|
| Rate for Payer: Cash Price |
$1,828.35
|
| Rate for Payer: Central Health Plan Commercial |
$3,250.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,844.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,625.20
|
| Rate for Payer: EPIC Health Plan Senior |
$1,625.20
|
| Rate for Payer: Galaxy Health WC |
$3,453.55
|
| Rate for Payer: Global Benefits Group Commercial |
$2,437.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,656.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,580.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,397.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$812.60
|
| Rate for Payer: Multiplan Commercial |
$3,047.25
|
| Rate for Payer: Networks By Design Commercial |
$2,640.95
|
| Rate for Payer: Prime Health Services Commercial |
$3,453.55
|
|
|
HC TEMP TRANSCUTANEOUS PACING
|
Facility
|
OP
|
$4,063.00
|
|
|
Service Code
|
CPT 92953
|
| Hospital Charge Code |
906811141
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$38.76 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$812.60
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,275.12
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$935.09
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$850.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$1,324.78
|
| Rate for Payer: Cash Price |
$1,828.35
|
| Rate for Payer: Cash Price |
$1,828.35
|
| Rate for Payer: Cash Price |
$1,828.35
|
| Rate for Payer: Cash Price |
$1,828.35
|
| Rate for Payer: Central Health Plan Commercial |
$3,250.40
|
| Rate for Payer: Cigna of CA HMO |
$2,600.32
|
| Rate for Payer: Cigna of CA PPO |
$3,006.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,275.12
|
| Rate for Payer: Dignity Health Medi-Cal |
$935.09
|
| Rate for Payer: Dignity Health Medicare Advantage |
$850.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,844.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,402.63
|
| Rate for Payer: EPIC Health Plan Senior |
$935.09
|
| Rate for Payer: Galaxy Health WC |
$3,453.55
|
| Rate for Payer: Global Benefits Group Commercial |
$2,437.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,656.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,394.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$850.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,580.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$38.76
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$913.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$812.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,139.11
|
| Rate for Payer: Multiplan Commercial |
$3,047.25
|
| Rate for Payer: Multiplan WC |
$1,324.78
|
| Rate for Payer: Networks By Design Commercial |
$2,640.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$850.08
|
| Rate for Payer: Preferred Health Network WC |
$1,351.82
|
| Rate for Payer: Prime Health Services Commercial |
$3,453.55
|
| Rate for Payer: Prime Health Services Medicare |
$901.08
|
| Rate for Payer: Prime Health Services WC |
$1,311.27
|
| Rate for Payer: Riverside University Health System MISP |
$935.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,437.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,031.50
|
| Rate for Payer: United Healthcare All Other HMO |
$2,031.50
|
| Rate for Payer: United Healthcare HMO Rider |
$2,031.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,031.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$850.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,275.12
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$935.09
|
| Rate for Payer: Vantage Medical Group Senior |
$850.08
|
|
|
HC TEMP TRANSCUTANEOUS PACING
|
Facility
|
OP
|
$4,063.00
|
|
|
Service Code
|
CPT 92953
|
| Hospital Charge Code |
906811141
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$38.76 |
| Max. Negotiated Rate |
$5,523.00 |
| Rate for Payer: Adventist Health Commercial |
$1,665.83
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$64.55
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$1,275.12
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$935.09
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$850.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$1,324.78
|
| Rate for Payer: Cash Price |
$1,828.35
|
| Rate for Payer: Cash Price |
$1,828.35
|
| Rate for Payer: Cash Price |
$1,828.35
|
| Rate for Payer: Cash Price |
$1,828.35
|
| Rate for Payer: Central Health Plan Commercial |
$3,250.40
|
| Rate for Payer: Cigna of CA HMO |
$2,600.32
|
| Rate for Payer: Cigna of CA PPO |
$3,006.62
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,275.12
|
| Rate for Payer: Dignity Health Medi-Cal |
$935.09
|
| Rate for Payer: Dignity Health Medicare Advantage |
$850.08
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,844.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,402.63
|
| Rate for Payer: EPIC Health Plan Senior |
$935.09
|
| Rate for Payer: Galaxy Health WC |
$3,453.55
|
| Rate for Payer: Global Benefits Group Commercial |
$2,437.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,656.70
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,394.13
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$850.08
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,580.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$38.76
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$913.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$812.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$1,139.11
|
| Rate for Payer: Multiplan Commercial |
$3,047.25
|
| Rate for Payer: Multiplan WC |
$1,324.78
|
| Rate for Payer: Networks By Design Commercial |
$2,640.95
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$850.08
|
| Rate for Payer: Preferred Health Network WC |
$1,351.82
|
| Rate for Payer: Prime Health Services Commercial |
$3,453.55
|
| Rate for Payer: Prime Health Services Medicare |
$901.08
|
| Rate for Payer: Prime Health Services WC |
$1,311.27
|
| Rate for Payer: Riverside University Health System MISP |
$935.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,437.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,437.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$850.08
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,275.12
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$935.09
|
| Rate for Payer: Vantage Medical Group Senior |
$850.08
|
|
|
HC TEMP TRANSCUTANEOUS PACING
|
Facility
|
IP
|
$4,063.00
|
|
|
Service Code
|
CPT 92953
|
| Hospital Charge Code |
906811141
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$812.60 |
| Max. Negotiated Rate |
$3,656.70 |
| Rate for Payer: Adventist Health Commercial |
$812.60
|
| Rate for Payer: Cash Price |
$1,828.35
|
| Rate for Payer: Central Health Plan Commercial |
$3,250.40
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$2,844.10
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,625.20
|
| Rate for Payer: EPIC Health Plan Senior |
$1,625.20
|
| Rate for Payer: Galaxy Health WC |
$3,453.55
|
| Rate for Payer: Global Benefits Group Commercial |
$2,437.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,656.70
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$2,580.01
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,397.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$812.60
|
| Rate for Payer: Multiplan Commercial |
$3,047.25
|
| Rate for Payer: Networks By Design Commercial |
$2,640.95
|
| Rate for Payer: Prime Health Services Commercial |
$3,453.55
|
|
|
HC TENOTOMY PERCUT TOE SNGL TENDN
|
Facility
|
OP
|
$8,714.00
|
|
|
Service Code
|
CPT 28010
|
| Hospital Charge Code |
900501072
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$281.54 |
| Max. Negotiated Rate |
$7,842.60 |
| Rate for Payer: Adventist Health Commercial |
$1,742.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,068.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,240.00
|
| Rate for Payer: Cash Price |
$3,921.30
|
| Rate for Payer: Cash Price |
$3,921.30
|
| Rate for Payer: Cash Price |
$3,921.30
|
| Rate for Payer: Cash Price |
$3,921.30
|
| Rate for Payer: Central Health Plan Commercial |
$6,971.20
|
| Rate for Payer: Cigna of CA HMO |
$5,576.96
|
| Rate for Payer: Cigna of CA PPO |
$6,448.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,274.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,068.15
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,099.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,412.45
|
| Rate for Payer: EPIC Health Plan Senior |
$2,274.97
|
| Rate for Payer: Galaxy Health WC |
$7,406.90
|
| Rate for Payer: Global Benefits Group Commercial |
$5,228.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,842.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,391.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,533.39
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$281.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,223.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,742.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,771.32
|
| Rate for Payer: Multiplan Commercial |
$6,535.50
|
| Rate for Payer: Multiplan WC |
$3,240.00
|
| Rate for Payer: Networks By Design Commercial |
$5,664.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Preferred Health Network WC |
$3,306.12
|
| Rate for Payer: Prime Health Services Commercial |
$7,406.90
|
| Rate for Payer: Prime Health Services Medicare |
$2,192.24
|
| Rate for Payer: Prime Health Services WC |
$3,206.94
|
| Rate for Payer: Riverside University Health System MISP |
$2,274.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,228.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,357.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,357.00
|
| Rate for Payer: United Healthcare HMO Rider |
$4,357.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,357.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,068.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Vantage Medical Group Senior |
$2,068.15
|
|
|
HC TENOTOMY PERCUT TOE SNGL TENDN
|
Facility
|
IP
|
$8,714.00
|
|
|
Service Code
|
CPT 28010
|
| Hospital Charge Code |
900501072
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,742.80 |
| Max. Negotiated Rate |
$7,842.60 |
| Rate for Payer: Adventist Health Commercial |
$1,742.80
|
| Rate for Payer: Cash Price |
$3,921.30
|
| Rate for Payer: Central Health Plan Commercial |
$6,971.20
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,099.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,485.60
|
| Rate for Payer: EPIC Health Plan Senior |
$3,485.60
|
| Rate for Payer: Galaxy Health WC |
$7,406.90
|
| Rate for Payer: Global Benefits Group Commercial |
$5,228.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,842.60
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,533.39
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$5,141.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,742.80
|
| Rate for Payer: Multiplan Commercial |
$6,535.50
|
| Rate for Payer: Networks By Design Commercial |
$5,664.10
|
| Rate for Payer: Prime Health Services Commercial |
$7,406.90
|
|
|
HC TENOTOMY PERCUT TOE SNGL TENDN
|
Facility
|
OP
|
$8,714.00
|
|
|
Service Code
|
CPT 28010
|
| Hospital Charge Code |
900501072
|
|
Hospital Revenue Code
|
456
|
| Min. Negotiated Rate |
$281.54 |
| Max. Negotiated Rate |
$7,842.60 |
| Rate for Payer: Adventist Health Commercial |
$3,572.74
|
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$1,210.45
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$2,068.15
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,523.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$3,240.00
|
| Rate for Payer: Cash Price |
$3,921.30
|
| Rate for Payer: Cash Price |
$3,921.30
|
| Rate for Payer: Cash Price |
$3,921.30
|
| Rate for Payer: Cash Price |
$3,921.30
|
| Rate for Payer: Central Health Plan Commercial |
$6,971.20
|
| Rate for Payer: Cigna of CA HMO |
$5,576.96
|
| Rate for Payer: Cigna of CA PPO |
$6,448.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Dignity Health Medi-Cal |
$2,274.97
|
| Rate for Payer: Dignity Health Medicare Advantage |
$2,068.15
|
| Rate for Payer: Emerging Therapy Solutions (LifeTrac) Transplant |
$6,099.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,412.45
|
| Rate for Payer: EPIC Health Plan Senior |
$2,274.97
|
| Rate for Payer: Galaxy Health WC |
$7,406.90
|
| Rate for Payer: Global Benefits Group Commercial |
$5,228.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,842.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,391.77
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$973.00
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Kaiser Foundation Hospitals Commercial/Self Funded |
$5,533.39
|
| Rate for Payer: Kaiser Foundation Hospitals Medi-Cal |
$281.54
|
| Rate for Payer: Kaiser Foundation Hospitals Medicare Advantage |
$2,223.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,742.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal/Medicare |
$2,771.32
|
| Rate for Payer: Multiplan Commercial |
$6,535.50
|
| Rate for Payer: Multiplan WC |
$3,240.00
|
| Rate for Payer: Networks By Design Commercial |
$5,664.10
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$2,068.15
|
| Rate for Payer: Preferred Health Network WC |
$3,306.12
|
| Rate for Payer: Prime Health Services Commercial |
$7,406.90
|
| Rate for Payer: Prime Health Services Medicare |
$2,192.24
|
| Rate for Payer: Prime Health Services WC |
$3,206.94
|
| Rate for Payer: Riverside University Health System MISP |
$2,274.97
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,228.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5,228.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$796.00
|
| Rate for Payer: United Healthcare All Other HMO |
$608.00
|
| Rate for Payer: United Healthcare HMO Rider |
$480.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$440.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$2,068.15
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,102.22
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,274.97
|
| Rate for Payer: Vantage Medical Group Senior |
$2,068.15
|
|
