|
HC SUTURE CHROMIC 0 CT-2 104499
|
Facility
IP
|
$20.50
|
|
| Hospital Charge Code |
901694858
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.10 |
| Max. Negotiated Rate |
$18.45 |
| Rate for Payer: Cash Price |
$9.23
|
| Rate for Payer: Central Health Plan Commercial |
$16.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.20
|
| Rate for Payer: Galaxy Health WC |
$17.42
|
| Rate for Payer: Global Benefits Group Commercial |
$12.30
|
| Rate for Payer: Health Management Network EPO/PPO |
$18.45
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.10
|
| Rate for Payer: Multiplan Commercial |
$15.38
|
| Rate for Payer: Networks By Design Commercial |
$13.32
|
| Rate for Payer: Prime Health Services Commercial |
$17.42
|
|
|
HC SUTURE CHROMIC 0 CT-2 104499
|
Facility
OP
|
$20.50
|
|
| Hospital Charge Code |
901694858
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.10 |
| Max. Negotiated Rate |
$18.45 |
| Rate for Payer: Aetna of CA HMO/PPO |
$12.45
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$17.42
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11.28
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$11.28
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12.11
|
| Rate for Payer: BCBS Transplant Transplant |
$12.30
|
| Rate for Payer: Blue Shield of California Commercial |
$12.89
|
| Rate for Payer: Blue Shield of California EPN |
$10.02
|
| Rate for Payer: Cash Price |
$9.23
|
| Rate for Payer: Central Health Plan Commercial |
$16.40
|
| Rate for Payer: Cigna of CA HMO |
$13.12
|
| Rate for Payer: Cigna of CA PPO |
$15.17
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$17.42
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.20
|
| Rate for Payer: EPIC Health Plan Transplant |
$8.20
|
| Rate for Payer: Galaxy Health WC |
$17.42
|
| Rate for Payer: Global Benefits Group Commercial |
$12.30
|
| Rate for Payer: Health Management Network EPO/PPO |
$18.45
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$15.38
|
| Rate for Payer: IEHP medi-cal |
$7.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.67
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.10
|
| Rate for Payer: Multiplan Commercial |
$15.38
|
| Rate for Payer: Networks By Design Commercial |
$13.32
|
| Rate for Payer: Prime Health Services Commercial |
$17.42
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$12.30
|
| Rate for Payer: Riverside University Health MISP |
$8.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12.30
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12.30
|
| Rate for Payer: United Healthcare All Other Commercial |
$10.25
|
| Rate for Payer: United Healthcare All Other HMO |
$10.25
|
| Rate for Payer: United Healthcare HMO Rider |
$10.25
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$10.25
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$17.42
|
| Rate for Payer: Vantage Medical Group Senior |
$17.42
|
|
|
HC SUTURE CHROMIC 0 SH 178211
|
Facility
OP
|
$21.24
|
|
| Hospital Charge Code |
901694861
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.25 |
| Max. Negotiated Rate |
$19.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$12.90
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$18.05
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11.68
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$11.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12.55
|
| Rate for Payer: BCBS Transplant Transplant |
$12.74
|
| Rate for Payer: Blue Shield of California Commercial |
$13.36
|
| Rate for Payer: Blue Shield of California EPN |
$10.39
|
| Rate for Payer: Cash Price |
$9.56
|
| Rate for Payer: Central Health Plan Commercial |
$16.99
|
| Rate for Payer: Cigna of CA HMO |
$13.59
|
| Rate for Payer: Cigna of CA PPO |
$15.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$18.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.50
|
| Rate for Payer: EPIC Health Plan Transplant |
$8.50
|
| Rate for Payer: Galaxy Health WC |
$18.05
|
| Rate for Payer: Global Benefits Group Commercial |
$12.74
|
| Rate for Payer: Health Management Network EPO/PPO |
$19.12
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$15.93
|
| Rate for Payer: IEHP medi-cal |
$7.43
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.25
|
| Rate for Payer: Multiplan Commercial |
$15.93
|
| Rate for Payer: Networks By Design Commercial |
$13.81
|
| Rate for Payer: Prime Health Services Commercial |
$18.05
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$12.74
|
| Rate for Payer: Riverside University Health MISP |
$8.50
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12.74
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12.74
|
| Rate for Payer: United Healthcare All Other Commercial |
$10.62
|
| Rate for Payer: United Healthcare All Other HMO |
$10.62
|
| Rate for Payer: United Healthcare HMO Rider |
$10.62
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$10.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$18.05
|
| Rate for Payer: Vantage Medical Group Senior |
$18.05
|
|
|
HC SUTURE CHROMIC 0 SH 178211
|
Facility
IP
|
$21.24
|
|
| Hospital Charge Code |
901694861
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.25 |
| Max. Negotiated Rate |
$19.12 |
| Rate for Payer: Cash Price |
$9.56
|
| Rate for Payer: Central Health Plan Commercial |
$16.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.50
|
| Rate for Payer: Galaxy Health WC |
$18.05
|
| Rate for Payer: Global Benefits Group Commercial |
$12.74
|
| Rate for Payer: Health Management Network EPO/PPO |
$19.12
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.25
|
| Rate for Payer: Multiplan Commercial |
$15.93
|
| Rate for Payer: Networks By Design Commercial |
$13.81
|
| Rate for Payer: Prime Health Services Commercial |
$18.05
|
|
|
HC SUTURE CHROMIC 1-0 27" 100173
|
Facility
IP
|
$22.06
|
|
| Hospital Charge Code |
901694628
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.41 |
| Max. Negotiated Rate |
$19.85 |
| Rate for Payer: Cash Price |
$9.93
|
| Rate for Payer: Central Health Plan Commercial |
$17.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.82
|
| Rate for Payer: Galaxy Health WC |
$18.75
|
| Rate for Payer: Global Benefits Group Commercial |
$13.24
|
| Rate for Payer: Health Management Network EPO/PPO |
$19.85
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.41
|
| Rate for Payer: Multiplan Commercial |
$16.54
|
| Rate for Payer: Networks By Design Commercial |
$14.34
|
| Rate for Payer: Prime Health Services Commercial |
$18.75
|
|
|
HC SUTURE CHROMIC 1-0 27" 100173
|
Facility
OP
|
$22.06
|
|
| Hospital Charge Code |
901694628
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.41 |
| Max. Negotiated Rate |
$19.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$13.40
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$18.75
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$12.13
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$12.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13.03
|
| Rate for Payer: BCBS Transplant Transplant |
$13.24
|
| Rate for Payer: Blue Shield of California Commercial |
$13.88
|
| Rate for Payer: Blue Shield of California EPN |
$10.79
|
| Rate for Payer: Cash Price |
$9.93
|
| Rate for Payer: Central Health Plan Commercial |
$17.65
|
| Rate for Payer: Cigna of CA HMO |
$14.12
|
| Rate for Payer: Cigna of CA PPO |
$16.32
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$18.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.82
|
| Rate for Payer: EPIC Health Plan Transplant |
$8.82
|
| Rate for Payer: Galaxy Health WC |
$18.75
|
| Rate for Payer: Global Benefits Group Commercial |
$13.24
|
| Rate for Payer: Health Management Network EPO/PPO |
$19.85
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$16.54
|
| Rate for Payer: IEHP medi-cal |
$7.72
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.41
|
| Rate for Payer: Multiplan Commercial |
$16.54
|
| Rate for Payer: Networks By Design Commercial |
$14.34
|
| Rate for Payer: Prime Health Services Commercial |
$18.75
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$13.24
|
| Rate for Payer: Riverside University Health MISP |
$8.82
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$13.24
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$13.24
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.03
|
| Rate for Payer: United Healthcare All Other HMO |
$11.03
|
| Rate for Payer: United Healthcare HMO Rider |
$11.03
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.03
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$18.75
|
| Rate for Payer: Vantage Medical Group Senior |
$18.75
|
|
|
HC SUTURE CHROMIC 1-0 54" REEL
|
Facility
IP
|
$28.04
|
|
| Hospital Charge Code |
901694866
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.61 |
| Max. Negotiated Rate |
$25.24 |
| Rate for Payer: Cash Price |
$12.62
|
| Rate for Payer: Central Health Plan Commercial |
$22.43
|
| Rate for Payer: EPIC Health Plan Commercial |
$11.22
|
| Rate for Payer: Galaxy Health WC |
$23.83
|
| Rate for Payer: Global Benefits Group Commercial |
$16.82
|
| Rate for Payer: Health Management Network EPO/PPO |
$25.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.61
|
| Rate for Payer: Multiplan Commercial |
$21.03
|
| Rate for Payer: Networks By Design Commercial |
$18.23
|
| Rate for Payer: Prime Health Services Commercial |
$23.83
|
|
|
HC SUTURE CHROMIC 1-0 54" REEL
|
Facility
OP
|
$28.04
|
|
| Hospital Charge Code |
901694866
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$5.61 |
| Max. Negotiated Rate |
$25.24 |
| Rate for Payer: Aetna of CA HMO/PPO |
$17.03
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$23.83
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$15.42
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$15.42
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$13.58
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$16.57
|
| Rate for Payer: BCBS Transplant Transplant |
$16.82
|
| Rate for Payer: Blue Shield of California Commercial |
$17.64
|
| Rate for Payer: Blue Shield of California EPN |
$13.71
|
| Rate for Payer: Cash Price |
$12.62
|
| Rate for Payer: Central Health Plan Commercial |
$22.43
|
| Rate for Payer: Cigna of CA HMO |
$17.95
|
| Rate for Payer: Cigna of CA PPO |
$20.75
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$23.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$11.22
|
| Rate for Payer: EPIC Health Plan Transplant |
$11.22
|
| Rate for Payer: Galaxy Health WC |
$23.83
|
| Rate for Payer: Global Benefits Group Commercial |
$16.82
|
| Rate for Payer: Health Management Network EPO/PPO |
$25.24
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$21.03
|
| Rate for Payer: IEHP medi-cal |
$9.81
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18.70
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5.61
|
| Rate for Payer: Multiplan Commercial |
$21.03
|
| Rate for Payer: Networks By Design Commercial |
$18.23
|
| Rate for Payer: Prime Health Services Commercial |
$23.83
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$16.82
|
| Rate for Payer: Riverside University Health MISP |
$11.22
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$16.82
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$16.82
|
| Rate for Payer: United Healthcare All Other Commercial |
$14.02
|
| Rate for Payer: United Healthcare All Other HMO |
$14.02
|
| Rate for Payer: United Healthcare HMO Rider |
$14.02
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$14.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$23.83
|
| Rate for Payer: Vantage Medical Group Senior |
$23.83
|
|
|
HC SUTURE CHROMIC 1-0 CT1 102836
|
Facility
IP
|
$22.06
|
|
| Hospital Charge Code |
901694862
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.41 |
| Max. Negotiated Rate |
$19.85 |
| Rate for Payer: Cash Price |
$9.93
|
| Rate for Payer: Central Health Plan Commercial |
$17.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.82
|
| Rate for Payer: Galaxy Health WC |
$18.75
|
| Rate for Payer: Global Benefits Group Commercial |
$13.24
|
| Rate for Payer: Health Management Network EPO/PPO |
$19.85
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.41
|
| Rate for Payer: Multiplan Commercial |
$16.54
|
| Rate for Payer: Networks By Design Commercial |
$14.34
|
| Rate for Payer: Prime Health Services Commercial |
$18.75
|
|
|
HC SUTURE CHROMIC 1-0 CT1 102836
|
Facility
OP
|
$22.06
|
|
| Hospital Charge Code |
901694862
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.41 |
| Max. Negotiated Rate |
$19.85 |
| Rate for Payer: Aetna of CA HMO/PPO |
$13.40
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$18.75
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$12.13
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$12.13
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10.68
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13.03
|
| Rate for Payer: BCBS Transplant Transplant |
$13.24
|
| Rate for Payer: Blue Shield of California Commercial |
$13.88
|
| Rate for Payer: Blue Shield of California EPN |
$10.79
|
| Rate for Payer: Cash Price |
$9.93
|
| Rate for Payer: Central Health Plan Commercial |
$17.65
|
| Rate for Payer: Cigna of CA HMO |
$14.12
|
| Rate for Payer: Cigna of CA PPO |
$16.32
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$18.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.82
|
| Rate for Payer: EPIC Health Plan Transplant |
$8.82
|
| Rate for Payer: Galaxy Health WC |
$18.75
|
| Rate for Payer: Global Benefits Group Commercial |
$13.24
|
| Rate for Payer: Health Management Network EPO/PPO |
$19.85
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$16.54
|
| Rate for Payer: IEHP medi-cal |
$7.72
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.41
|
| Rate for Payer: Multiplan Commercial |
$16.54
|
| Rate for Payer: Networks By Design Commercial |
$14.34
|
| Rate for Payer: Prime Health Services Commercial |
$18.75
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$13.24
|
| Rate for Payer: Riverside University Health MISP |
$8.82
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$13.24
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$13.24
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.03
|
| Rate for Payer: United Healthcare All Other HMO |
$11.03
|
| Rate for Payer: United Healthcare HMO Rider |
$11.03
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.03
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$18.75
|
| Rate for Payer: Vantage Medical Group Senior |
$18.75
|
|
|
HC SUTURE CHROMIC 2-0 100127
|
Facility
OP
|
$20.25
|
|
| Hospital Charge Code |
901694653
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.05 |
| Max. Negotiated Rate |
$18.22 |
| Rate for Payer: Aetna of CA HMO/PPO |
$12.30
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$17.21
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11.14
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$11.14
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.81
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$11.96
|
| Rate for Payer: BCBS Transplant Transplant |
$12.15
|
| Rate for Payer: Blue Shield of California Commercial |
$12.74
|
| Rate for Payer: Blue Shield of California EPN |
$9.90
|
| Rate for Payer: Cash Price |
$9.11
|
| Rate for Payer: Central Health Plan Commercial |
$16.20
|
| Rate for Payer: Cigna of CA HMO |
$12.96
|
| Rate for Payer: Cigna of CA PPO |
$14.98
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$17.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.10
|
| Rate for Payer: EPIC Health Plan Transplant |
$8.10
|
| Rate for Payer: Galaxy Health WC |
$17.21
|
| Rate for Payer: Global Benefits Group Commercial |
$12.15
|
| Rate for Payer: Health Management Network EPO/PPO |
$18.22
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$15.19
|
| Rate for Payer: IEHP medi-cal |
$7.09
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.05
|
| Rate for Payer: Multiplan Commercial |
$15.19
|
| Rate for Payer: Networks By Design Commercial |
$13.16
|
| Rate for Payer: Prime Health Services Commercial |
$17.21
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$12.15
|
| Rate for Payer: Riverside University Health MISP |
$8.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12.15
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12.15
|
| Rate for Payer: United Healthcare All Other Commercial |
$10.12
|
| Rate for Payer: United Healthcare All Other HMO |
$10.12
|
| Rate for Payer: United Healthcare HMO Rider |
$10.12
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$10.12
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$17.21
|
| Rate for Payer: Vantage Medical Group Senior |
$17.21
|
|
|
HC SUTURE CHROMIC 2-0 100127
|
Facility
IP
|
$20.25
|
|
| Hospital Charge Code |
901694653
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.05 |
| Max. Negotiated Rate |
$18.22 |
| Rate for Payer: Cash Price |
$9.11
|
| Rate for Payer: Central Health Plan Commercial |
$16.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.10
|
| Rate for Payer: Galaxy Health WC |
$17.21
|
| Rate for Payer: Global Benefits Group Commercial |
$12.15
|
| Rate for Payer: Health Management Network EPO/PPO |
$18.22
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.05
|
| Rate for Payer: Multiplan Commercial |
$15.19
|
| Rate for Payer: Networks By Design Commercial |
$13.16
|
| Rate for Payer: Prime Health Services Commercial |
$17.21
|
|
|
HC SUTURE CHROMIC 2-0 100243
|
Facility
IP
|
$23.94
|
|
| Hospital Charge Code |
901694867
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.79 |
| Max. Negotiated Rate |
$21.55 |
| Rate for Payer: Cash Price |
$10.77
|
| Rate for Payer: Central Health Plan Commercial |
$19.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.58
|
| Rate for Payer: Galaxy Health WC |
$20.35
|
| Rate for Payer: Global Benefits Group Commercial |
$14.36
|
| Rate for Payer: Health Management Network EPO/PPO |
$21.55
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.97
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.79
|
| Rate for Payer: Multiplan Commercial |
$17.96
|
| Rate for Payer: Networks By Design Commercial |
$15.56
|
| Rate for Payer: Prime Health Services Commercial |
$20.35
|
|
|
HC SUTURE CHROMIC 2-0 100243
|
Facility
OP
|
$23.94
|
|
| Hospital Charge Code |
901694867
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.79 |
| Max. Negotiated Rate |
$21.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$14.54
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$13.17
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11.59
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$14.14
|
| Rate for Payer: BCBS Transplant Transplant |
$14.36
|
| Rate for Payer: Blue Shield of California Commercial |
$15.06
|
| Rate for Payer: Blue Shield of California EPN |
$11.71
|
| Rate for Payer: Cash Price |
$10.77
|
| Rate for Payer: Central Health Plan Commercial |
$19.15
|
| Rate for Payer: Cigna of CA HMO |
$15.32
|
| Rate for Payer: Cigna of CA PPO |
$17.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.58
|
| Rate for Payer: EPIC Health Plan Transplant |
$9.58
|
| Rate for Payer: Galaxy Health WC |
$20.35
|
| Rate for Payer: Global Benefits Group Commercial |
$14.36
|
| Rate for Payer: Health Management Network EPO/PPO |
$21.55
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$17.96
|
| Rate for Payer: IEHP medi-cal |
$8.38
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.97
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.79
|
| Rate for Payer: Multiplan Commercial |
$17.96
|
| Rate for Payer: Networks By Design Commercial |
$15.56
|
| Rate for Payer: Prime Health Services Commercial |
$20.35
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$14.36
|
| Rate for Payer: Riverside University Health MISP |
$9.58
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14.36
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$14.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.97
|
| Rate for Payer: United Healthcare All Other HMO |
$11.97
|
| Rate for Payer: United Healthcare HMO Rider |
$11.97
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.97
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$20.35
|
| Rate for Payer: Vantage Medical Group Senior |
$20.35
|
|
|
HC SUTURE CHROMIC 2-0 27" CT-1
|
Facility
IP
|
$20.01
|
|
| Hospital Charge Code |
901602880
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$18.01 |
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Central Health Plan Commercial |
$16.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.00
|
| Rate for Payer: Galaxy Health WC |
$17.01
|
| Rate for Payer: Global Benefits Group Commercial |
$12.01
|
| Rate for Payer: Health Management Network EPO/PPO |
$18.01
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.00
|
| Rate for Payer: Multiplan Commercial |
$15.01
|
| Rate for Payer: Networks By Design Commercial |
$13.01
|
| Rate for Payer: Prime Health Services Commercial |
$17.01
|
|
|
HC SUTURE CHROMIC 2-0 27" CT-1
|
Facility
OP
|
$20.01
|
|
| Hospital Charge Code |
901602880
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.00 |
| Max. Negotiated Rate |
$18.01 |
| Rate for Payer: Aetna of CA HMO/PPO |
$12.15
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$17.01
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11.01
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$11.01
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.69
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$11.82
|
| Rate for Payer: BCBS Transplant Transplant |
$12.01
|
| Rate for Payer: Blue Shield of California Commercial |
$12.59
|
| Rate for Payer: Blue Shield of California EPN |
$9.78
|
| Rate for Payer: Cash Price |
$9.00
|
| Rate for Payer: Central Health Plan Commercial |
$16.01
|
| Rate for Payer: Cigna of CA HMO |
$12.81
|
| Rate for Payer: Cigna of CA PPO |
$14.81
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$17.01
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$8.00
|
| Rate for Payer: Galaxy Health WC |
$17.01
|
| Rate for Payer: Global Benefits Group Commercial |
$12.01
|
| Rate for Payer: Health Management Network EPO/PPO |
$18.01
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$15.01
|
| Rate for Payer: IEHP medi-cal |
$7.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.00
|
| Rate for Payer: Multiplan Commercial |
$15.01
|
| Rate for Payer: Networks By Design Commercial |
$13.01
|
| Rate for Payer: Prime Health Services Commercial |
$17.01
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$12.01
|
| Rate for Payer: Riverside University Health MISP |
$8.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12.01
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12.01
|
| Rate for Payer: United Healthcare All Other Commercial |
$10.00
|
| Rate for Payer: United Healthcare All Other HMO |
$10.00
|
| Rate for Payer: United Healthcare HMO Rider |
$10.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$10.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$17.01
|
| Rate for Payer: Vantage Medical Group Senior |
$17.01
|
|
|
HC SUTURE CHROMIC 2-0 CT2 107255
|
Facility
IP
|
$20.09
|
|
| Hospital Charge Code |
901694868
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.02 |
| Max. Negotiated Rate |
$18.08 |
| Rate for Payer: Cash Price |
$9.04
|
| Rate for Payer: Central Health Plan Commercial |
$16.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.04
|
| Rate for Payer: Galaxy Health WC |
$17.08
|
| Rate for Payer: Global Benefits Group Commercial |
$12.05
|
| Rate for Payer: Health Management Network EPO/PPO |
$18.08
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.02
|
| Rate for Payer: Multiplan Commercial |
$15.07
|
| Rate for Payer: Networks By Design Commercial |
$13.06
|
| Rate for Payer: Prime Health Services Commercial |
$17.08
|
|
|
HC SUTURE CHROMIC 2-0 CT2 107255
|
Facility
OP
|
$20.09
|
|
| Hospital Charge Code |
901694868
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.02 |
| Max. Negotiated Rate |
$18.08 |
| Rate for Payer: Aetna of CA HMO/PPO |
$12.20
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$17.08
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11.05
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$11.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.73
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$11.87
|
| Rate for Payer: BCBS Transplant Transplant |
$12.05
|
| Rate for Payer: Blue Shield of California Commercial |
$12.64
|
| Rate for Payer: Blue Shield of California EPN |
$9.82
|
| Rate for Payer: Cash Price |
$9.04
|
| Rate for Payer: Central Health Plan Commercial |
$16.07
|
| Rate for Payer: Cigna of CA HMO |
$12.86
|
| Rate for Payer: Cigna of CA PPO |
$14.87
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$17.08
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.04
|
| Rate for Payer: EPIC Health Plan Transplant |
$8.04
|
| Rate for Payer: Galaxy Health WC |
$17.08
|
| Rate for Payer: Global Benefits Group Commercial |
$12.05
|
| Rate for Payer: Health Management Network EPO/PPO |
$18.08
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$15.07
|
| Rate for Payer: IEHP medi-cal |
$7.03
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.02
|
| Rate for Payer: Multiplan Commercial |
$15.07
|
| Rate for Payer: Networks By Design Commercial |
$13.06
|
| Rate for Payer: Prime Health Services Commercial |
$17.08
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$12.05
|
| Rate for Payer: Riverside University Health MISP |
$8.04
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12.05
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12.05
|
| Rate for Payer: United Healthcare All Other Commercial |
$10.04
|
| Rate for Payer: United Healthcare All Other HMO |
$10.04
|
| Rate for Payer: United Healthcare HMO Rider |
$10.04
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$10.04
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$17.08
|
| Rate for Payer: Vantage Medical Group Senior |
$17.08
|
|
|
HC SUTURE CHROMIC 3-0 100277
|
Facility
IP
|
$21.24
|
|
| Hospital Charge Code |
901694648
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.25 |
| Max. Negotiated Rate |
$19.12 |
| Rate for Payer: Cash Price |
$9.56
|
| Rate for Payer: Central Health Plan Commercial |
$16.99
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.50
|
| Rate for Payer: Galaxy Health WC |
$18.05
|
| Rate for Payer: Global Benefits Group Commercial |
$12.74
|
| Rate for Payer: Health Management Network EPO/PPO |
$19.12
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.25
|
| Rate for Payer: Multiplan Commercial |
$15.93
|
| Rate for Payer: Networks By Design Commercial |
$13.81
|
| Rate for Payer: Prime Health Services Commercial |
$18.05
|
|
|
HC SUTURE CHROMIC 3-0 100277
|
Facility
OP
|
$21.24
|
|
| Hospital Charge Code |
901694648
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.25 |
| Max. Negotiated Rate |
$19.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$12.90
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$18.05
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11.68
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$11.68
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12.55
|
| Rate for Payer: BCBS Transplant Transplant |
$12.74
|
| Rate for Payer: Blue Shield of California Commercial |
$13.36
|
| Rate for Payer: Blue Shield of California EPN |
$10.39
|
| Rate for Payer: Cash Price |
$9.56
|
| Rate for Payer: Central Health Plan Commercial |
$16.99
|
| Rate for Payer: Cigna of CA HMO |
$13.59
|
| Rate for Payer: Cigna of CA PPO |
$15.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$18.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.50
|
| Rate for Payer: EPIC Health Plan Transplant |
$8.50
|
| Rate for Payer: Galaxy Health WC |
$18.05
|
| Rate for Payer: Global Benefits Group Commercial |
$12.74
|
| Rate for Payer: Health Management Network EPO/PPO |
$19.12
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$15.93
|
| Rate for Payer: IEHP medi-cal |
$7.43
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.25
|
| Rate for Payer: Multiplan Commercial |
$15.93
|
| Rate for Payer: Networks By Design Commercial |
$13.81
|
| Rate for Payer: Prime Health Services Commercial |
$18.05
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$12.74
|
| Rate for Payer: Riverside University Health MISP |
$8.50
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12.74
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12.74
|
| Rate for Payer: United Healthcare All Other Commercial |
$10.62
|
| Rate for Payer: United Healthcare All Other HMO |
$10.62
|
| Rate for Payer: United Healthcare HMO Rider |
$10.62
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$10.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$18.05
|
| Rate for Payer: Vantage Medical Group Senior |
$18.05
|
|
|
HC SUTURE CHROMIC 3-0 180173
|
Facility
OP
|
$40.34
|
|
| Hospital Charge Code |
901692004
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.07 |
| Max. Negotiated Rate |
$36.31 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24.50
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$34.29
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$22.19
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$22.19
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23.83
|
| Rate for Payer: BCBS Transplant Transplant |
$24.20
|
| Rate for Payer: Blue Shield of California Commercial |
$25.37
|
| Rate for Payer: Blue Shield of California EPN |
$19.73
|
| Rate for Payer: Cash Price |
$18.15
|
| Rate for Payer: Central Health Plan Commercial |
$32.27
|
| Rate for Payer: Cigna of CA HMO |
$25.82
|
| Rate for Payer: Cigna of CA PPO |
$29.85
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34.29
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.14
|
| Rate for Payer: EPIC Health Plan Transplant |
$16.14
|
| Rate for Payer: Galaxy Health WC |
$34.29
|
| Rate for Payer: Global Benefits Group Commercial |
$24.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$36.31
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$30.26
|
| Rate for Payer: IEHP medi-cal |
$14.12
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$26.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.07
|
| Rate for Payer: Multiplan Commercial |
$30.26
|
| Rate for Payer: Networks By Design Commercial |
$26.22
|
| Rate for Payer: Prime Health Services Commercial |
$34.29
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$24.20
|
| Rate for Payer: Riverside University Health MISP |
$16.14
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$24.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$24.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.17
|
| Rate for Payer: United Healthcare All Other HMO |
$20.17
|
| Rate for Payer: United Healthcare HMO Rider |
$20.17
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$20.17
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$34.29
|
| Rate for Payer: Vantage Medical Group Senior |
$34.29
|
|
|
HC SUTURE CHROMIC 3-0 180173
|
Facility
IP
|
$40.34
|
|
| Hospital Charge Code |
901692004
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.07 |
| Max. Negotiated Rate |
$36.31 |
| Rate for Payer: Cash Price |
$18.15
|
| Rate for Payer: Central Health Plan Commercial |
$32.27
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.14
|
| Rate for Payer: Galaxy Health WC |
$34.29
|
| Rate for Payer: Global Benefits Group Commercial |
$24.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$36.31
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$26.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.07
|
| Rate for Payer: Multiplan Commercial |
$30.26
|
| Rate for Payer: Networks By Design Commercial |
$26.22
|
| Rate for Payer: Prime Health Services Commercial |
$34.29
|
|
|
HC SUTURE CHROMIC 3-0 27" 636H
|
Facility
IP
|
$19.02
|
|
| Hospital Charge Code |
901601291
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.80 |
| Max. Negotiated Rate |
$17.12 |
| Rate for Payer: Cash Price |
$8.56
|
| Rate for Payer: Central Health Plan Commercial |
$15.22
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.61
|
| Rate for Payer: Galaxy Health WC |
$16.17
|
| Rate for Payer: Global Benefits Group Commercial |
$11.41
|
| Rate for Payer: Health Management Network EPO/PPO |
$17.12
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$12.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.80
|
| Rate for Payer: Multiplan Commercial |
$14.26
|
| Rate for Payer: Networks By Design Commercial |
$12.36
|
| Rate for Payer: Prime Health Services Commercial |
$16.17
|
|
|
HC SUTURE CHROMIC 3-0 27" 636H
|
Facility
OP
|
$19.02
|
|
| Hospital Charge Code |
901601291
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.80 |
| Max. Negotiated Rate |
$17.12 |
| Rate for Payer: Aetna of CA HMO/PPO |
$11.55
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$16.17
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$10.46
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$9.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$11.24
|
| Rate for Payer: BCBS Transplant Transplant |
$11.41
|
| Rate for Payer: Blue Shield of California Commercial |
$11.96
|
| Rate for Payer: Blue Shield of California EPN |
$9.30
|
| Rate for Payer: Cash Price |
$8.56
|
| Rate for Payer: Central Health Plan Commercial |
$15.22
|
| Rate for Payer: Cigna of CA HMO |
$12.17
|
| Rate for Payer: Cigna of CA PPO |
$14.07
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$16.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$7.61
|
| Rate for Payer: EPIC Health Plan Transplant |
$7.61
|
| Rate for Payer: Galaxy Health WC |
$16.17
|
| Rate for Payer: Global Benefits Group Commercial |
$11.41
|
| Rate for Payer: Health Management Network EPO/PPO |
$17.12
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$14.26
|
| Rate for Payer: IEHP medi-cal |
$6.66
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$12.69
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.80
|
| Rate for Payer: Multiplan Commercial |
$14.26
|
| Rate for Payer: Networks By Design Commercial |
$12.36
|
| Rate for Payer: Prime Health Services Commercial |
$16.17
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$11.41
|
| Rate for Payer: Riverside University Health MISP |
$7.61
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11.41
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$11.41
|
| Rate for Payer: United Healthcare All Other Commercial |
$9.51
|
| Rate for Payer: United Healthcare All Other HMO |
$9.51
|
| Rate for Payer: United Healthcare HMO Rider |
$9.51
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9.51
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$16.17
|
| Rate for Payer: Vantage Medical Group Senior |
$16.17
|
|
|
HC SUTURE CHROMIC 3-0 27" CT-1
|
Facility
OP
|
$20.75
|
|
| Hospital Charge Code |
901602881
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.15 |
| Max. Negotiated Rate |
$18.68 |
| Rate for Payer: Aetna of CA HMO/PPO |
$12.60
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$17.64
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11.41
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$11.41
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10.05
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12.26
|
| Rate for Payer: BCBS Transplant Transplant |
$12.45
|
| Rate for Payer: Blue Shield of California Commercial |
$13.05
|
| Rate for Payer: Blue Shield of California EPN |
$10.15
|
| Rate for Payer: Cash Price |
$9.34
|
| Rate for Payer: Central Health Plan Commercial |
$16.60
|
| Rate for Payer: Cigna of CA HMO |
$13.28
|
| Rate for Payer: Cigna of CA PPO |
$15.36
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$17.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.30
|
| Rate for Payer: EPIC Health Plan Transplant |
$8.30
|
| Rate for Payer: Galaxy Health WC |
$17.64
|
| Rate for Payer: Global Benefits Group Commercial |
$12.45
|
| Rate for Payer: Health Management Network EPO/PPO |
$18.68
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$15.56
|
| Rate for Payer: IEHP medi-cal |
$7.26
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.15
|
| Rate for Payer: Multiplan Commercial |
$15.56
|
| Rate for Payer: Networks By Design Commercial |
$13.49
|
| Rate for Payer: Prime Health Services Commercial |
$17.64
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$12.45
|
| Rate for Payer: Riverside University Health MISP |
$8.30
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12.45
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12.45
|
| Rate for Payer: United Healthcare All Other Commercial |
$10.38
|
| Rate for Payer: United Healthcare All Other HMO |
$10.38
|
| Rate for Payer: United Healthcare HMO Rider |
$10.38
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$10.38
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$17.64
|
| Rate for Payer: Vantage Medical Group Senior |
$17.64
|
|
