|
HC SUTURE PDS II 5-0 18" P-3
|
Facility
IP
|
$33.46
|
|
| Hospital Charge Code |
901601970
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.69 |
| Max. Negotiated Rate |
$30.11 |
| Rate for Payer: Cash Price |
$15.06
|
| Rate for Payer: Central Health Plan Commercial |
$26.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$13.38
|
| Rate for Payer: Galaxy Health WC |
$28.44
|
| Rate for Payer: Global Benefits Group Commercial |
$20.08
|
| Rate for Payer: Health Management Network EPO/PPO |
$30.11
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$22.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.69
|
| Rate for Payer: Multiplan Commercial |
$25.10
|
| Rate for Payer: Networks By Design Commercial |
$21.75
|
| Rate for Payer: Prime Health Services Commercial |
$28.44
|
|
|
HC SUTURE PDS II CTX 0 132691
|
Facility
IP
|
$41.08
|
|
| Hospital Charge Code |
901694652
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.22 |
| Max. Negotiated Rate |
$36.97 |
| Rate for Payer: Cash Price |
$18.49
|
| Rate for Payer: Central Health Plan Commercial |
$32.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.43
|
| Rate for Payer: Galaxy Health WC |
$34.92
|
| Rate for Payer: Global Benefits Group Commercial |
$24.65
|
| Rate for Payer: Health Management Network EPO/PPO |
$36.97
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$27.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.22
|
| Rate for Payer: Multiplan Commercial |
$30.81
|
| Rate for Payer: Networks By Design Commercial |
$26.70
|
| Rate for Payer: Prime Health Services Commercial |
$34.92
|
|
|
HC SUTURE PDS II CTX 0 132691
|
Facility
OP
|
$41.08
|
|
| Hospital Charge Code |
901694652
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.22 |
| Max. Negotiated Rate |
$36.97 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24.95
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$34.92
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$22.59
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$22.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19.89
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$24.27
|
| Rate for Payer: BCBS Transplant Transplant |
$24.65
|
| Rate for Payer: Blue Shield of California Commercial |
$25.84
|
| Rate for Payer: Blue Shield of California EPN |
$20.09
|
| Rate for Payer: Cash Price |
$18.49
|
| Rate for Payer: Central Health Plan Commercial |
$32.86
|
| Rate for Payer: Cigna of CA HMO |
$26.29
|
| Rate for Payer: Cigna of CA PPO |
$30.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34.92
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.43
|
| Rate for Payer: EPIC Health Plan Transplant |
$16.43
|
| Rate for Payer: Galaxy Health WC |
$34.92
|
| Rate for Payer: Global Benefits Group Commercial |
$24.65
|
| Rate for Payer: Health Management Network EPO/PPO |
$36.97
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$30.81
|
| Rate for Payer: IEHP medi-cal |
$14.38
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$27.40
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.22
|
| Rate for Payer: Multiplan Commercial |
$30.81
|
| Rate for Payer: Networks By Design Commercial |
$26.70
|
| Rate for Payer: Prime Health Services Commercial |
$34.92
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$24.65
|
| Rate for Payer: Riverside University Health MISP |
$16.43
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$24.65
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$24.65
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.54
|
| Rate for Payer: United Healthcare All Other HMO |
$20.54
|
| Rate for Payer: United Healthcare HMO Rider |
$20.54
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$20.54
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$34.92
|
| Rate for Payer: Vantage Medical Group Senior |
$34.92
|
|
|
HC SUTURE PERMA-HAND 3-0 18" FS-1
|
Facility
OP
|
$12.38
|
|
| Hospital Charge Code |
901698192
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.48 |
| Max. Negotiated Rate |
$11.14 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7.52
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10.52
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$6.81
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$6.81
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5.99
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7.31
|
| Rate for Payer: BCBS Transplant Transplant |
$7.43
|
| Rate for Payer: Blue Shield of California Commercial |
$7.79
|
| Rate for Payer: Blue Shield of California EPN |
$6.05
|
| Rate for Payer: Cash Price |
$5.57
|
| Rate for Payer: Central Health Plan Commercial |
$9.90
|
| Rate for Payer: Cigna of CA HMO |
$7.92
|
| Rate for Payer: Cigna of CA PPO |
$9.16
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10.52
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.95
|
| Rate for Payer: EPIC Health Plan Transplant |
$4.95
|
| Rate for Payer: Galaxy Health WC |
$10.52
|
| Rate for Payer: Global Benefits Group Commercial |
$7.43
|
| Rate for Payer: Health Management Network EPO/PPO |
$11.14
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$9.28
|
| Rate for Payer: IEHP medi-cal |
$4.33
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.48
|
| Rate for Payer: Multiplan Commercial |
$9.28
|
| Rate for Payer: Networks By Design Commercial |
$8.05
|
| Rate for Payer: Prime Health Services Commercial |
$10.52
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$7.43
|
| Rate for Payer: Riverside University Health MISP |
$4.95
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7.43
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7.43
|
| Rate for Payer: United Healthcare All Other Commercial |
$6.19
|
| Rate for Payer: United Healthcare All Other HMO |
$6.19
|
| Rate for Payer: United Healthcare HMO Rider |
$6.19
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6.19
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10.52
|
| Rate for Payer: Vantage Medical Group Senior |
$10.52
|
|
|
HC SUTURE PERMA-HAND 3-0 18" FS-1
|
Facility
IP
|
$12.38
|
|
| Hospital Charge Code |
901698192
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.48 |
| Max. Negotiated Rate |
$11.14 |
| Rate for Payer: Cash Price |
$5.57
|
| Rate for Payer: Central Health Plan Commercial |
$9.90
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.95
|
| Rate for Payer: Galaxy Health WC |
$10.52
|
| Rate for Payer: Global Benefits Group Commercial |
$7.43
|
| Rate for Payer: Health Management Network EPO/PPO |
$11.14
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.48
|
| Rate for Payer: Multiplan Commercial |
$9.28
|
| Rate for Payer: Networks By Design Commercial |
$8.05
|
| Rate for Payer: Prime Health Services Commercial |
$10.52
|
|
|
HC SUTURE PLAIN 0 54" LIGA TIES
|
Facility
OP
|
$23.37
|
|
| Hospital Charge Code |
901694609
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.67 |
| Max. Negotiated Rate |
$21.03 |
| Rate for Payer: Aetna of CA HMO/PPO |
$14.19
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$19.86
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$12.85
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$12.85
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13.81
|
| Rate for Payer: BCBS Transplant Transplant |
$14.02
|
| Rate for Payer: Blue Shield of California Commercial |
$14.70
|
| Rate for Payer: Blue Shield of California EPN |
$11.43
|
| Rate for Payer: Cash Price |
$10.52
|
| Rate for Payer: Central Health Plan Commercial |
$18.70
|
| Rate for Payer: Cigna of CA HMO |
$14.96
|
| Rate for Payer: Cigna of CA PPO |
$17.29
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$19.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.35
|
| Rate for Payer: EPIC Health Plan Transplant |
$9.35
|
| Rate for Payer: Galaxy Health WC |
$19.86
|
| Rate for Payer: Global Benefits Group Commercial |
$14.02
|
| Rate for Payer: Health Management Network EPO/PPO |
$21.03
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$17.53
|
| Rate for Payer: IEHP medi-cal |
$8.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.67
|
| Rate for Payer: Multiplan Commercial |
$17.53
|
| Rate for Payer: Networks By Design Commercial |
$15.19
|
| Rate for Payer: Prime Health Services Commercial |
$19.86
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$14.02
|
| Rate for Payer: Riverside University Health MISP |
$9.35
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14.02
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$14.02
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.68
|
| Rate for Payer: United Healthcare All Other HMO |
$11.68
|
| Rate for Payer: United Healthcare HMO Rider |
$11.68
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.68
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$19.86
|
| Rate for Payer: Vantage Medical Group Senior |
$19.86
|
|
|
HC SUTURE PLAIN 0 54" LIGA TIES
|
Facility
IP
|
$23.37
|
|
| Hospital Charge Code |
901694609
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.67 |
| Max. Negotiated Rate |
$21.03 |
| Rate for Payer: Cash Price |
$10.52
|
| Rate for Payer: Central Health Plan Commercial |
$18.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.35
|
| Rate for Payer: Galaxy Health WC |
$19.86
|
| Rate for Payer: Global Benefits Group Commercial |
$14.02
|
| Rate for Payer: Health Management Network EPO/PPO |
$21.03
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.59
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.67
|
| Rate for Payer: Multiplan Commercial |
$17.53
|
| Rate for Payer: Networks By Design Commercial |
$15.19
|
| Rate for Payer: Prime Health Services Commercial |
$19.86
|
|
|
HC SUTURE PLAIN 3-0 102832
|
Facility
IP
|
$23.21
|
|
| Hospital Charge Code |
901694611
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.64 |
| Max. Negotiated Rate |
$20.89 |
| Rate for Payer: Cash Price |
$10.44
|
| Rate for Payer: Central Health Plan Commercial |
$18.57
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.28
|
| Rate for Payer: Galaxy Health WC |
$19.73
|
| Rate for Payer: Global Benefits Group Commercial |
$13.93
|
| Rate for Payer: Health Management Network EPO/PPO |
$20.89
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.64
|
| Rate for Payer: Multiplan Commercial |
$17.41
|
| Rate for Payer: Networks By Design Commercial |
$15.09
|
| Rate for Payer: Prime Health Services Commercial |
$19.73
|
|
|
HC SUTURE PLAIN 3-0 102832
|
Facility
OP
|
$23.21
|
|
| Hospital Charge Code |
901694611
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.64 |
| Max. Negotiated Rate |
$20.89 |
| Rate for Payer: Aetna of CA HMO/PPO |
$14.10
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$19.73
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$12.77
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$12.77
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11.24
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13.71
|
| Rate for Payer: BCBS Transplant Transplant |
$13.93
|
| Rate for Payer: Blue Shield of California Commercial |
$14.60
|
| Rate for Payer: Blue Shield of California EPN |
$11.35
|
| Rate for Payer: Cash Price |
$10.44
|
| Rate for Payer: Central Health Plan Commercial |
$18.57
|
| Rate for Payer: Cigna of CA HMO |
$14.85
|
| Rate for Payer: Cigna of CA PPO |
$17.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$19.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$9.28
|
| Rate for Payer: EPIC Health Plan Transplant |
$9.28
|
| Rate for Payer: Galaxy Health WC |
$19.73
|
| Rate for Payer: Global Benefits Group Commercial |
$13.93
|
| Rate for Payer: Health Management Network EPO/PPO |
$20.89
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$17.41
|
| Rate for Payer: IEHP medi-cal |
$8.12
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$15.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.64
|
| Rate for Payer: Multiplan Commercial |
$17.41
|
| Rate for Payer: Networks By Design Commercial |
$15.09
|
| Rate for Payer: Prime Health Services Commercial |
$19.73
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$13.93
|
| Rate for Payer: Riverside University Health MISP |
$9.28
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$13.93
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$13.93
|
| Rate for Payer: United Healthcare All Other Commercial |
$11.60
|
| Rate for Payer: United Healthcare All Other HMO |
$11.60
|
| Rate for Payer: United Healthcare HMO Rider |
$11.60
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$11.60
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$19.73
|
| Rate for Payer: Vantage Medical Group Senior |
$19.73
|
|
|
HC SUTURE PLAIN 3-0 27" T-29
|
Facility
IP
|
$47.64
|
|
| Hospital Charge Code |
901694613
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.53 |
| Max. Negotiated Rate |
$42.88 |
| Rate for Payer: Cash Price |
$21.44
|
| Rate for Payer: Central Health Plan Commercial |
$38.11
|
| Rate for Payer: EPIC Health Plan Commercial |
$19.06
|
| Rate for Payer: Galaxy Health WC |
$40.49
|
| Rate for Payer: Global Benefits Group Commercial |
$28.58
|
| Rate for Payer: Health Management Network EPO/PPO |
$42.88
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$31.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9.53
|
| Rate for Payer: Multiplan Commercial |
$35.73
|
| Rate for Payer: Networks By Design Commercial |
$30.97
|
| Rate for Payer: Prime Health Services Commercial |
$40.49
|
|
|
HC SUTURE PLAIN 3-0 27" T-29
|
Facility
OP
|
$47.64
|
|
| Hospital Charge Code |
901694613
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.53 |
| Max. Negotiated Rate |
$42.88 |
| Rate for Payer: Aetna of CA HMO/PPO |
$28.93
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$40.49
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$26.20
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$26.20
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28.15
|
| Rate for Payer: BCBS Transplant Transplant |
$28.58
|
| Rate for Payer: Blue Shield of California Commercial |
$29.97
|
| Rate for Payer: Blue Shield of California EPN |
$23.30
|
| Rate for Payer: Cash Price |
$21.44
|
| Rate for Payer: Central Health Plan Commercial |
$38.11
|
| Rate for Payer: Cigna of CA HMO |
$30.49
|
| Rate for Payer: Cigna of CA PPO |
$35.25
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$40.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$19.06
|
| Rate for Payer: EPIC Health Plan Transplant |
$19.06
|
| Rate for Payer: Galaxy Health WC |
$40.49
|
| Rate for Payer: Global Benefits Group Commercial |
$28.58
|
| Rate for Payer: Health Management Network EPO/PPO |
$42.88
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$35.73
|
| Rate for Payer: IEHP medi-cal |
$16.67
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$31.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9.53
|
| Rate for Payer: Multiplan Commercial |
$35.73
|
| Rate for Payer: Networks By Design Commercial |
$30.97
|
| Rate for Payer: Prime Health Services Commercial |
$40.49
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$28.58
|
| Rate for Payer: Riverside University Health MISP |
$19.06
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$28.58
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$28.58
|
| Rate for Payer: United Healthcare All Other Commercial |
$23.82
|
| Rate for Payer: United Healthcare All Other HMO |
$23.82
|
| Rate for Payer: United Healthcare HMO Rider |
$23.82
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$23.82
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$40.49
|
| Rate for Payer: Vantage Medical Group Senior |
$40.49
|
|
|
HC SUTURE PLAIN 6-0 G-1 101036
|
Facility
IP
|
$57.56
|
|
| Hospital Charge Code |
901692002
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.51 |
| Max. Negotiated Rate |
$51.80 |
| Rate for Payer: Cash Price |
$25.90
|
| Rate for Payer: Central Health Plan Commercial |
$46.05
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.02
|
| Rate for Payer: Galaxy Health WC |
$48.93
|
| Rate for Payer: Global Benefits Group Commercial |
$34.54
|
| Rate for Payer: Health Management Network EPO/PPO |
$51.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$38.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.51
|
| Rate for Payer: Multiplan Commercial |
$43.17
|
| Rate for Payer: Networks By Design Commercial |
$37.41
|
| Rate for Payer: Prime Health Services Commercial |
$48.93
|
|
|
HC SUTURE PLAIN 6-0 G-1 101036
|
Facility
OP
|
$57.56
|
|
| Hospital Charge Code |
901692002
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$11.51 |
| Max. Negotiated Rate |
$51.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$34.96
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$48.93
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$31.66
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$31.66
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$27.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$34.01
|
| Rate for Payer: BCBS Transplant Transplant |
$34.54
|
| Rate for Payer: Blue Shield of California Commercial |
$36.21
|
| Rate for Payer: Blue Shield of California EPN |
$28.15
|
| Rate for Payer: Cash Price |
$25.90
|
| Rate for Payer: Central Health Plan Commercial |
$46.05
|
| Rate for Payer: Cigna of CA HMO |
$36.84
|
| Rate for Payer: Cigna of CA PPO |
$42.59
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$48.93
|
| Rate for Payer: EPIC Health Plan Commercial |
$23.02
|
| Rate for Payer: EPIC Health Plan Transplant |
$23.02
|
| Rate for Payer: Galaxy Health WC |
$48.93
|
| Rate for Payer: Global Benefits Group Commercial |
$34.54
|
| Rate for Payer: Health Management Network EPO/PPO |
$51.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$43.17
|
| Rate for Payer: IEHP medi-cal |
$20.15
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$38.39
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$11.51
|
| Rate for Payer: Multiplan Commercial |
$43.17
|
| Rate for Payer: Networks By Design Commercial |
$37.41
|
| Rate for Payer: Prime Health Services Commercial |
$48.93
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$34.54
|
| Rate for Payer: Riverside University Health MISP |
$23.02
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$34.54
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$34.54
|
| Rate for Payer: United Healthcare All Other Commercial |
$28.78
|
| Rate for Payer: United Healthcare All Other HMO |
$28.78
|
| Rate for Payer: United Healthcare HMO Rider |
$28.78
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28.78
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$48.93
|
| Rate for Payer: Vantage Medical Group Senior |
$48.93
|
|
|
HC SUTURE PLAIN GC3-0 CI1 102834
|
Facility
IP
|
$20.83
|
|
| Hospital Charge Code |
901694632
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.17 |
| Max. Negotiated Rate |
$18.75 |
| Rate for Payer: Cash Price |
$9.37
|
| Rate for Payer: Central Health Plan Commercial |
$16.66
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.33
|
| Rate for Payer: Galaxy Health WC |
$17.71
|
| Rate for Payer: Global Benefits Group Commercial |
$12.50
|
| Rate for Payer: Health Management Network EPO/PPO |
$18.75
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.17
|
| Rate for Payer: Multiplan Commercial |
$15.62
|
| Rate for Payer: Networks By Design Commercial |
$13.54
|
| Rate for Payer: Prime Health Services Commercial |
$17.71
|
|
|
HC SUTURE PLAIN GC3-0 CI1 102834
|
Facility
OP
|
$20.83
|
|
| Hospital Charge Code |
901694632
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$4.17 |
| Max. Negotiated Rate |
$18.75 |
| Rate for Payer: Aetna of CA HMO/PPO |
$12.65
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$17.71
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11.46
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$11.46
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$10.09
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$12.31
|
| Rate for Payer: BCBS Transplant Transplant |
$12.50
|
| Rate for Payer: Blue Shield of California Commercial |
$13.10
|
| Rate for Payer: Blue Shield of California EPN |
$10.19
|
| Rate for Payer: Cash Price |
$9.37
|
| Rate for Payer: Central Health Plan Commercial |
$16.66
|
| Rate for Payer: Cigna of CA HMO |
$13.33
|
| Rate for Payer: Cigna of CA PPO |
$15.41
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$17.71
|
| Rate for Payer: EPIC Health Plan Commercial |
$8.33
|
| Rate for Payer: EPIC Health Plan Transplant |
$8.33
|
| Rate for Payer: Galaxy Health WC |
$17.71
|
| Rate for Payer: Global Benefits Group Commercial |
$12.50
|
| Rate for Payer: Health Management Network EPO/PPO |
$18.75
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$15.62
|
| Rate for Payer: IEHP medi-cal |
$7.29
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$13.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4.17
|
| Rate for Payer: Multiplan Commercial |
$15.62
|
| Rate for Payer: Networks By Design Commercial |
$13.54
|
| Rate for Payer: Prime Health Services Commercial |
$17.71
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$12.50
|
| Rate for Payer: Riverside University Health MISP |
$8.33
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$12.50
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$12.50
|
| Rate for Payer: United Healthcare All Other Commercial |
$10.42
|
| Rate for Payer: United Healthcare All Other HMO |
$10.42
|
| Rate for Payer: United Healthcare HMO Rider |
$10.42
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$10.42
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$17.71
|
| Rate for Payer: Vantage Medical Group Senior |
$17.71
|
|
|
HC SUTURE PLAIN GUT 4-0 P-3
|
Facility
IP
|
$40.59
|
|
| Hospital Charge Code |
901694889
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.12 |
| Max. Negotiated Rate |
$36.53 |
| Rate for Payer: Cash Price |
$18.27
|
| Rate for Payer: Central Health Plan Commercial |
$32.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.24
|
| Rate for Payer: Galaxy Health WC |
$34.50
|
| Rate for Payer: Global Benefits Group Commercial |
$24.35
|
| Rate for Payer: Health Management Network EPO/PPO |
$36.53
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$27.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.12
|
| Rate for Payer: Multiplan Commercial |
$30.44
|
| Rate for Payer: Networks By Design Commercial |
$26.38
|
| Rate for Payer: Prime Health Services Commercial |
$34.50
|
|
|
HC SUTURE PLAIN GUT 4-0 P-3
|
Facility
OP
|
$40.59
|
|
| Hospital Charge Code |
901694889
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.12 |
| Max. Negotiated Rate |
$36.53 |
| Rate for Payer: Aetna of CA HMO/PPO |
$24.65
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$34.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$22.32
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$22.32
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$19.65
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$23.98
|
| Rate for Payer: BCBS Transplant Transplant |
$24.35
|
| Rate for Payer: Blue Shield of California Commercial |
$25.53
|
| Rate for Payer: Blue Shield of California EPN |
$19.85
|
| Rate for Payer: Cash Price |
$18.27
|
| Rate for Payer: Central Health Plan Commercial |
$32.47
|
| Rate for Payer: Cigna of CA HMO |
$25.98
|
| Rate for Payer: Cigna of CA PPO |
$30.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$34.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.24
|
| Rate for Payer: EPIC Health Plan Transplant |
$16.24
|
| Rate for Payer: Galaxy Health WC |
$34.50
|
| Rate for Payer: Global Benefits Group Commercial |
$24.35
|
| Rate for Payer: Health Management Network EPO/PPO |
$36.53
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$30.44
|
| Rate for Payer: IEHP medi-cal |
$14.21
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$27.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.12
|
| Rate for Payer: Multiplan Commercial |
$30.44
|
| Rate for Payer: Networks By Design Commercial |
$26.38
|
| Rate for Payer: Prime Health Services Commercial |
$34.50
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$24.35
|
| Rate for Payer: Riverside University Health MISP |
$16.24
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$24.35
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$24.35
|
| Rate for Payer: United Healthcare All Other Commercial |
$20.30
|
| Rate for Payer: United Healthcare All Other HMO |
$20.30
|
| Rate for Payer: United Healthcare HMO Rider |
$20.30
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$20.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$34.50
|
| Rate for Payer: Vantage Medical Group Senior |
$34.50
|
|
|
HC SUTURE PLAIN GUT 5-0 18 10044
|
Facility
IP
|
$45.26
|
|
| Hospital Charge Code |
901694886
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.05 |
| Max. Negotiated Rate |
$40.73 |
| Rate for Payer: Cash Price |
$20.37
|
| Rate for Payer: Central Health Plan Commercial |
$36.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$18.10
|
| Rate for Payer: Galaxy Health WC |
$38.47
|
| Rate for Payer: Global Benefits Group Commercial |
$27.16
|
| Rate for Payer: Health Management Network EPO/PPO |
$40.73
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$30.19
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9.05
|
| Rate for Payer: Multiplan Commercial |
$33.94
|
| Rate for Payer: Networks By Design Commercial |
$29.42
|
| Rate for Payer: Prime Health Services Commercial |
$38.47
|
|
|
HC SUTURE PLAIN GUT 5-0 18 10044
|
Facility
OP
|
$45.26
|
|
| Hospital Charge Code |
901694886
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.05 |
| Max. Negotiated Rate |
$40.73 |
| Rate for Payer: Aetna of CA HMO/PPO |
$27.49
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$38.47
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$24.89
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$24.89
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21.91
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$26.74
|
| Rate for Payer: BCBS Transplant Transplant |
$27.16
|
| Rate for Payer: Blue Shield of California Commercial |
$28.47
|
| Rate for Payer: Blue Shield of California EPN |
$22.13
|
| Rate for Payer: Cash Price |
$20.37
|
| Rate for Payer: Central Health Plan Commercial |
$36.21
|
| Rate for Payer: Cigna of CA HMO |
$28.97
|
| Rate for Payer: Cigna of CA PPO |
$33.49
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$38.47
|
| Rate for Payer: EPIC Health Plan Commercial |
$18.10
|
| Rate for Payer: EPIC Health Plan Transplant |
$18.10
|
| Rate for Payer: Galaxy Health WC |
$38.47
|
| Rate for Payer: Global Benefits Group Commercial |
$27.16
|
| Rate for Payer: Health Management Network EPO/PPO |
$40.73
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$33.94
|
| Rate for Payer: IEHP medi-cal |
$15.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$30.19
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9.05
|
| Rate for Payer: Multiplan Commercial |
$33.94
|
| Rate for Payer: Networks By Design Commercial |
$29.42
|
| Rate for Payer: Prime Health Services Commercial |
$38.47
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$27.16
|
| Rate for Payer: Riverside University Health MISP |
$18.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$27.16
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$27.16
|
| Rate for Payer: United Healthcare All Other Commercial |
$22.63
|
| Rate for Payer: United Healthcare All Other HMO |
$22.63
|
| Rate for Payer: United Healthcare HMO Rider |
$22.63
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$22.63
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$38.47
|
| Rate for Payer: Vantage Medical Group Senior |
$38.47
|
|
|
HC SUTURE PLAIN GUT 5-0 18" P-2
|
Facility
IP
|
$42.39
|
|
| Hospital Charge Code |
901601963
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.48 |
| Max. Negotiated Rate |
$38.15 |
| Rate for Payer: Cash Price |
$19.08
|
| Rate for Payer: Central Health Plan Commercial |
$33.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.96
|
| Rate for Payer: Galaxy Health WC |
$36.03
|
| Rate for Payer: Global Benefits Group Commercial |
$25.43
|
| Rate for Payer: Health Management Network EPO/PPO |
$38.15
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$28.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.48
|
| Rate for Payer: Multiplan Commercial |
$31.79
|
| Rate for Payer: Networks By Design Commercial |
$27.55
|
| Rate for Payer: Prime Health Services Commercial |
$36.03
|
|
|
HC SUTURE PLAIN GUT 5-0 18" P-2
|
Facility
OP
|
$42.39
|
|
| Hospital Charge Code |
901601963
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.48 |
| Max. Negotiated Rate |
$38.15 |
| Rate for Payer: Aetna of CA HMO/PPO |
$25.74
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$36.03
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$23.31
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$23.31
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20.53
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25.04
|
| Rate for Payer: BCBS Transplant Transplant |
$25.43
|
| Rate for Payer: Blue Shield of California Commercial |
$26.66
|
| Rate for Payer: Blue Shield of California EPN |
$20.73
|
| Rate for Payer: Cash Price |
$19.08
|
| Rate for Payer: Central Health Plan Commercial |
$33.91
|
| Rate for Payer: Cigna of CA HMO |
$27.13
|
| Rate for Payer: Cigna of CA PPO |
$31.37
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36.03
|
| Rate for Payer: EPIC Health Plan Commercial |
$16.96
|
| Rate for Payer: EPIC Health Plan Transplant |
$16.96
|
| Rate for Payer: Galaxy Health WC |
$36.03
|
| Rate for Payer: Global Benefits Group Commercial |
$25.43
|
| Rate for Payer: Health Management Network EPO/PPO |
$38.15
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$31.79
|
| Rate for Payer: IEHP medi-cal |
$14.84
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$28.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.48
|
| Rate for Payer: Multiplan Commercial |
$31.79
|
| Rate for Payer: Networks By Design Commercial |
$27.55
|
| Rate for Payer: Prime Health Services Commercial |
$36.03
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$25.43
|
| Rate for Payer: Riverside University Health MISP |
$16.96
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$25.43
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$25.43
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.20
|
| Rate for Payer: United Healthcare All Other HMO |
$21.20
|
| Rate for Payer: United Healthcare HMO Rider |
$21.20
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21.20
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$36.03
|
| Rate for Payer: Vantage Medical Group Senior |
$36.03
|
|
|
HC SUTURE PLAIN GUT 6-0 18" PC1
|
Facility
IP
|
$48.46
|
|
| Hospital Charge Code |
901601964
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.69 |
| Max. Negotiated Rate |
$43.61 |
| Rate for Payer: Cash Price |
$21.81
|
| Rate for Payer: Central Health Plan Commercial |
$38.77
|
| Rate for Payer: EPIC Health Plan Commercial |
$19.38
|
| Rate for Payer: Galaxy Health WC |
$41.19
|
| Rate for Payer: Global Benefits Group Commercial |
$29.08
|
| Rate for Payer: Health Management Network EPO/PPO |
$43.61
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$32.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9.69
|
| Rate for Payer: Multiplan Commercial |
$36.34
|
| Rate for Payer: Networks By Design Commercial |
$31.50
|
| Rate for Payer: Prime Health Services Commercial |
$41.19
|
|
|
HC SUTURE PLAIN GUT 6-0 18" PC1
|
Facility
OP
|
$48.46
|
|
| Hospital Charge Code |
901601964
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$9.69 |
| Max. Negotiated Rate |
$43.61 |
| Rate for Payer: Aetna of CA HMO/PPO |
$29.43
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$41.19
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$26.65
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$26.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$23.46
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$28.63
|
| Rate for Payer: BCBS Transplant Transplant |
$29.08
|
| Rate for Payer: Blue Shield of California Commercial |
$30.48
|
| Rate for Payer: Blue Shield of California EPN |
$23.70
|
| Rate for Payer: Cash Price |
$21.81
|
| Rate for Payer: Central Health Plan Commercial |
$38.77
|
| Rate for Payer: Cigna of CA HMO |
$31.01
|
| Rate for Payer: Cigna of CA PPO |
$35.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$41.19
|
| Rate for Payer: EPIC Health Plan Commercial |
$19.38
|
| Rate for Payer: EPIC Health Plan Transplant |
$19.38
|
| Rate for Payer: Galaxy Health WC |
$41.19
|
| Rate for Payer: Global Benefits Group Commercial |
$29.08
|
| Rate for Payer: Health Management Network EPO/PPO |
$43.61
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$36.34
|
| Rate for Payer: IEHP medi-cal |
$16.96
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$32.32
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9.69
|
| Rate for Payer: Multiplan Commercial |
$36.34
|
| Rate for Payer: Networks By Design Commercial |
$31.50
|
| Rate for Payer: Prime Health Services Commercial |
$41.19
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$29.08
|
| Rate for Payer: Riverside University Health MISP |
$19.38
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$29.08
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$29.08
|
| Rate for Payer: United Healthcare All Other Commercial |
$24.23
|
| Rate for Payer: United Healthcare All Other HMO |
$24.23
|
| Rate for Payer: United Healthcare HMO Rider |
$24.23
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$24.23
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$41.19
|
| Rate for Payer: Vantage Medical Group Senior |
$41.19
|
|
|
HC SUTURE PLAIN TIES 2-0 102840
|
Facility
IP
|
$247.59
|
|
| Hospital Charge Code |
901694610
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.52 |
| Max. Negotiated Rate |
$222.83 |
| Rate for Payer: Cash Price |
$111.42
|
| Rate for Payer: Central Health Plan Commercial |
$198.07
|
| Rate for Payer: EPIC Health Plan Commercial |
$99.04
|
| Rate for Payer: Galaxy Health WC |
$210.45
|
| Rate for Payer: Global Benefits Group Commercial |
$148.55
|
| Rate for Payer: Health Management Network EPO/PPO |
$222.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$165.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$49.52
|
| Rate for Payer: Multiplan Commercial |
$185.69
|
| Rate for Payer: Networks By Design Commercial |
$160.93
|
| Rate for Payer: Prime Health Services Commercial |
$210.45
|
|
|
HC SUTURE PLAIN TIES 2-0 102840
|
Facility
OP
|
$247.59
|
|
| Hospital Charge Code |
901694610
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$49.52 |
| Max. Negotiated Rate |
$222.83 |
| Rate for Payer: Aetna of CA HMO/PPO |
$150.36
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$210.45
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$136.17
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$136.17
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$119.88
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$146.28
|
| Rate for Payer: BCBS Transplant Transplant |
$148.55
|
| Rate for Payer: Blue Shield of California Commercial |
$155.73
|
| Rate for Payer: Blue Shield of California EPN |
$121.07
|
| Rate for Payer: Cash Price |
$111.42
|
| Rate for Payer: Central Health Plan Commercial |
$198.07
|
| Rate for Payer: Cigna of CA HMO |
$158.46
|
| Rate for Payer: Cigna of CA PPO |
$183.22
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$210.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$99.04
|
| Rate for Payer: EPIC Health Plan Transplant |
$99.04
|
| Rate for Payer: Galaxy Health WC |
$210.45
|
| Rate for Payer: Global Benefits Group Commercial |
$148.55
|
| Rate for Payer: Health Management Network EPO/PPO |
$222.83
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$185.69
|
| Rate for Payer: IEHP medi-cal |
$86.66
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$165.14
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$49.52
|
| Rate for Payer: Multiplan Commercial |
$185.69
|
| Rate for Payer: Networks By Design Commercial |
$160.93
|
| Rate for Payer: Prime Health Services Commercial |
$210.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$148.55
|
| Rate for Payer: Riverside University Health MISP |
$99.04
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$148.55
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$148.55
|
| Rate for Payer: United Healthcare All Other Commercial |
$123.80
|
| Rate for Payer: United Healthcare All Other HMO |
$123.80
|
| Rate for Payer: United Healthcare HMO Rider |
$123.80
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$123.80
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$210.45
|
| Rate for Payer: Vantage Medical Group Senior |
$210.45
|
|
