|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2181ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2131ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2170ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B20FYZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2121ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2041ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B217YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B216YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2001ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2030ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2161ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD 4A023N8
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2010ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2020ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B20F0ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2070ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B213YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B205YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2021ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B202YZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B2171ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
Cardiac Catheterization
|
Facility
IP
|
$14,669.00
|
|
|
Service Code
|
ICD B21F1ZZ
|
| Min. Negotiated Rate |
$10,527.00 |
| Max. Negotiated Rate |
$14,669.00 |
| Rate for Payer: Blue Shield of California Commercial |
$14,669.00
|
| Rate for Payer: Blue Shield of California EPN |
$10,527.00
|
|
|
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
IP
|
$12,879.12
|
|
|
Service Code
|
APR-DRG 1912
|
| Min. Negotiated Rate |
$10,807.66 |
| Max. Negotiated Rate |
$12,879.12 |
| Rate for Payer: Adventist Health Medi-Cal |
$10,807.66
|
| Rate for Payer: IEHP medi-cal |
$12,879.12
|
|
|
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
IP
|
$10,986.43
|
|
|
Service Code
|
APR-DRG 1911
|
| Min. Negotiated Rate |
$9,219.38 |
| Max. Negotiated Rate |
$10,986.43 |
| Rate for Payer: Adventist Health Medi-Cal |
$9,219.38
|
| Rate for Payer: IEHP medi-cal |
$10,986.43
|
|
|
CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE
|
Facility
IP
|
$23,985.68
|
|
|
Service Code
|
APR-DRG 1914
|
| Min. Negotiated Rate |
$20,127.84 |
| Max. Negotiated Rate |
$23,985.68 |
| Rate for Payer: Adventist Health Medi-Cal |
$20,127.84
|
| Rate for Payer: IEHP medi-cal |
$23,985.68
|
|
