|
HC SUTURE PROLENE 6-0 18"
|
Facility
OP
|
$31.98
|
|
| Hospital Charge Code |
901603486
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.40 |
| Max. Negotiated Rate |
$28.78 |
| Rate for Payer: Aetna of CA HMO/PPO |
$19.42
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$27.18
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$17.59
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$17.59
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$15.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$18.89
|
| Rate for Payer: BCBS Transplant Transplant |
$19.19
|
| Rate for Payer: Blue Shield of California Commercial |
$20.12
|
| Rate for Payer: Blue Shield of California EPN |
$15.64
|
| Rate for Payer: Cash Price |
$14.39
|
| Rate for Payer: Central Health Plan Commercial |
$25.58
|
| Rate for Payer: Cigna of CA HMO |
$20.47
|
| Rate for Payer: Cigna of CA PPO |
$23.67
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$27.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$12.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$12.79
|
| Rate for Payer: Galaxy Health WC |
$27.18
|
| Rate for Payer: Global Benefits Group Commercial |
$19.19
|
| Rate for Payer: Health Management Network EPO/PPO |
$28.78
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$23.98
|
| Rate for Payer: IEHP medi-cal |
$11.19
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$21.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.40
|
| Rate for Payer: Multiplan Commercial |
$23.98
|
| Rate for Payer: Networks By Design Commercial |
$20.79
|
| Rate for Payer: Prime Health Services Commercial |
$27.18
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$19.19
|
| Rate for Payer: Riverside University Health MISP |
$12.79
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$19.19
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$19.19
|
| Rate for Payer: United Healthcare All Other Commercial |
$15.99
|
| Rate for Payer: United Healthcare All Other HMO |
$15.99
|
| Rate for Payer: United Healthcare HMO Rider |
$15.99
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$27.18
|
| Rate for Payer: Vantage Medical Group Senior |
$27.18
|
|
|
HC SUTURE PROLENE 6-0 18" P-3
|
Facility
IP
|
$33.70
|
|
| Hospital Charge Code |
901601975
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.74 |
| Max. Negotiated Rate |
$30.33 |
| Rate for Payer: Cash Price |
$15.17
|
| Rate for Payer: Central Health Plan Commercial |
$26.96
|
| Rate for Payer: EPIC Health Plan Commercial |
$13.48
|
| Rate for Payer: Galaxy Health WC |
$28.64
|
| Rate for Payer: Global Benefits Group Commercial |
$20.22
|
| Rate for Payer: Health Management Network EPO/PPO |
$30.33
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$22.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.74
|
| Rate for Payer: Multiplan Commercial |
$25.28
|
| Rate for Payer: Networks By Design Commercial |
$21.90
|
| Rate for Payer: Prime Health Services Commercial |
$28.64
|
|
|
HC SUTURE PROLENE 6-0 18" P-3
|
Facility
OP
|
$33.70
|
|
| Hospital Charge Code |
901601975
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$6.74 |
| Max. Negotiated Rate |
$30.33 |
| Rate for Payer: Aetna of CA HMO/PPO |
$20.47
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$28.64
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$18.54
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$18.54
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$16.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$19.91
|
| Rate for Payer: BCBS Transplant Transplant |
$20.22
|
| Rate for Payer: Blue Shield of California Commercial |
$21.20
|
| Rate for Payer: Blue Shield of California EPN |
$16.48
|
| Rate for Payer: Cash Price |
$15.17
|
| Rate for Payer: Central Health Plan Commercial |
$26.96
|
| Rate for Payer: Cigna of CA HMO |
$21.57
|
| Rate for Payer: Cigna of CA PPO |
$24.94
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$28.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$13.48
|
| Rate for Payer: EPIC Health Plan Transplant |
$13.48
|
| Rate for Payer: Galaxy Health WC |
$28.64
|
| Rate for Payer: Global Benefits Group Commercial |
$20.22
|
| Rate for Payer: Health Management Network EPO/PPO |
$30.33
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$25.28
|
| Rate for Payer: IEHP medi-cal |
$11.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$22.48
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6.74
|
| Rate for Payer: Multiplan Commercial |
$25.28
|
| Rate for Payer: Networks By Design Commercial |
$21.90
|
| Rate for Payer: Prime Health Services Commercial |
$28.64
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$20.22
|
| Rate for Payer: Riverside University Health MISP |
$13.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$20.22
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$20.22
|
| Rate for Payer: United Healthcare All Other Commercial |
$16.85
|
| Rate for Payer: United Healthcare All Other HMO |
$16.85
|
| Rate for Payer: United Healthcare HMO Rider |
$16.85
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$16.85
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$28.64
|
| Rate for Payer: Vantage Medical Group Senior |
$28.64
|
|
|
HC SUTURE PROLENE 6-0 DBL ARM RB
|
Facility
IP
|
$43.30
|
|
| Hospital Charge Code |
901603044
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.66 |
| Max. Negotiated Rate |
$38.97 |
| Rate for Payer: Cash Price |
$19.49
|
| Rate for Payer: Central Health Plan Commercial |
$34.64
|
| Rate for Payer: EPIC Health Plan Commercial |
$17.32
|
| Rate for Payer: Galaxy Health WC |
$36.80
|
| Rate for Payer: Global Benefits Group Commercial |
$25.98
|
| Rate for Payer: Health Management Network EPO/PPO |
$38.97
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$28.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.66
|
| Rate for Payer: Multiplan Commercial |
$32.48
|
| Rate for Payer: Networks By Design Commercial |
$28.14
|
| Rate for Payer: Prime Health Services Commercial |
$36.80
|
|
|
HC SUTURE PROLENE 6-0 DBL ARM RB
|
Facility
OP
|
$43.30
|
|
| Hospital Charge Code |
901603044
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$8.66 |
| Max. Negotiated Rate |
$38.97 |
| Rate for Payer: Aetna of CA HMO/PPO |
$26.30
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$36.80
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$23.82
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$23.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$20.97
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25.58
|
| Rate for Payer: BCBS Transplant Transplant |
$25.98
|
| Rate for Payer: Blue Shield of California Commercial |
$27.24
|
| Rate for Payer: Blue Shield of California EPN |
$21.17
|
| Rate for Payer: Cash Price |
$19.49
|
| Rate for Payer: Central Health Plan Commercial |
$34.64
|
| Rate for Payer: Cigna of CA HMO |
$27.71
|
| Rate for Payer: Cigna of CA PPO |
$32.04
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$17.32
|
| Rate for Payer: EPIC Health Plan Transplant |
$17.32
|
| Rate for Payer: Galaxy Health WC |
$36.80
|
| Rate for Payer: Global Benefits Group Commercial |
$25.98
|
| Rate for Payer: Health Management Network EPO/PPO |
$38.97
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$32.48
|
| Rate for Payer: IEHP medi-cal |
$15.16
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$28.88
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8.66
|
| Rate for Payer: Multiplan Commercial |
$32.48
|
| Rate for Payer: Networks By Design Commercial |
$28.14
|
| Rate for Payer: Prime Health Services Commercial |
$36.80
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$25.98
|
| Rate for Payer: Riverside University Health MISP |
$17.32
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$25.98
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$25.98
|
| Rate for Payer: United Healthcare All Other Commercial |
$21.65
|
| Rate for Payer: United Healthcare All Other HMO |
$21.65
|
| Rate for Payer: United Healthcare HMO Rider |
$21.65
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21.65
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$36.80
|
| Rate for Payer: Vantage Medical Group Senior |
$36.80
|
|
|
HC SUTURE PROLENE 7-0 24" BV-1
|
Facility
OP
|
$82.00
|
|
| Hospital Charge Code |
901604393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$73.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49.80
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$69.70
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$45.10
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$39.70
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$48.45
|
| Rate for Payer: BCBS Transplant Transplant |
$49.20
|
| Rate for Payer: Blue Shield of California Commercial |
$51.58
|
| Rate for Payer: Blue Shield of California EPN |
$40.10
|
| 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: EPIC Health Plan Commercial |
$32.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$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: Health Plan of Nevada - Sierra Transplant Other |
$61.50
|
| Rate for Payer: IEHP medi-cal |
$28.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$54.69
|
| 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
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$49.20
|
| Rate for Payer: Riverside University Health 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 Medi-Cal |
$69.70
|
| Rate for Payer: Vantage Medical Group Senior |
$69.70
|
|
|
HC SUTURE PROLENE 7-0 24" BV-1
|
Facility
IP
|
$82.00
|
|
| Hospital Charge Code |
901604393
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$16.40 |
| Max. Negotiated Rate |
$73.80 |
| Rate for Payer: Cash Price |
$36.90
|
| Rate for Payer: Central Health Plan Commercial |
$65.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$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 Permanente of CA Commercial/Self Funded |
$54.69
|
| 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 SUTURE SILK 0 18"
|
Facility
OP
|
$15.74
|
|
| Hospital Charge Code |
901603230
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.15 |
| Max. Negotiated Rate |
$14.17 |
| Rate for Payer: Aetna of CA HMO/PPO |
$9.56
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$13.38
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$8.66
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$8.66
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$7.62
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9.30
|
| Rate for Payer: BCBS Transplant Transplant |
$9.44
|
| Rate for Payer: Blue Shield of California Commercial |
$9.90
|
| Rate for Payer: Blue Shield of California EPN |
$7.70
|
| Rate for Payer: Cash Price |
$7.08
|
| Rate for Payer: Central Health Plan Commercial |
$12.59
|
| Rate for Payer: Cigna of CA HMO |
$10.07
|
| Rate for Payer: Cigna of CA PPO |
$11.65
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$13.38
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.30
|
| Rate for Payer: EPIC Health Plan Transplant |
$6.30
|
| Rate for Payer: Galaxy Health WC |
$13.38
|
| Rate for Payer: Global Benefits Group Commercial |
$9.44
|
| Rate for Payer: Health Management Network EPO/PPO |
$14.17
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$11.80
|
| Rate for Payer: IEHP medi-cal |
$5.51
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.15
|
| Rate for Payer: Multiplan Commercial |
$11.80
|
| Rate for Payer: Networks By Design Commercial |
$10.23
|
| Rate for Payer: Prime Health Services Commercial |
$13.38
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$9.44
|
| Rate for Payer: Riverside University Health MISP |
$6.30
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$9.44
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9.44
|
| Rate for Payer: United Healthcare All Other Commercial |
$7.87
|
| Rate for Payer: United Healthcare All Other HMO |
$7.87
|
| Rate for Payer: United Healthcare HMO Rider |
$7.87
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7.87
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$13.38
|
| Rate for Payer: Vantage Medical Group Senior |
$13.38
|
|
|
HC SUTURE SILK 0 18"
|
Facility
IP
|
$15.74
|
|
| Hospital Charge Code |
901603230
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.15 |
| Max. Negotiated Rate |
$14.17 |
| Rate for Payer: Cash Price |
$7.08
|
| Rate for Payer: Central Health Plan Commercial |
$12.59
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.30
|
| Rate for Payer: Galaxy Health WC |
$13.38
|
| Rate for Payer: Global Benefits Group Commercial |
$9.44
|
| Rate for Payer: Health Management Network EPO/PPO |
$14.17
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.15
|
| Rate for Payer: Multiplan Commercial |
$11.80
|
| Rate for Payer: Networks By Design Commercial |
$10.23
|
| Rate for Payer: Prime Health Services Commercial |
$13.38
|
|
|
HC SUTURE SILK 0 18" 678H
|
Facility
OP
|
$12.87
|
|
| Hospital Charge Code |
901601275
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.57 |
| Max. Negotiated Rate |
$11.58 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7.82
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10.94
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7.08
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7.08
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6.23
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7.60
|
| Rate for Payer: BCBS Transplant Transplant |
$7.72
|
| Rate for Payer: Blue Shield of California Commercial |
$8.10
|
| Rate for Payer: Blue Shield of California EPN |
$6.29
|
| Rate for Payer: Cash Price |
$5.79
|
| Rate for Payer: Central Health Plan Commercial |
$10.30
|
| Rate for Payer: Cigna of CA HMO |
$8.24
|
| Rate for Payer: Cigna of CA PPO |
$9.52
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10.94
|
| Rate for Payer: EPIC Health Plan Commercial |
$5.15
|
| Rate for Payer: EPIC Health Plan Transplant |
$5.15
|
| Rate for Payer: Galaxy Health WC |
$10.94
|
| Rate for Payer: Global Benefits Group Commercial |
$7.72
|
| Rate for Payer: Health Management Network EPO/PPO |
$11.58
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$9.65
|
| Rate for Payer: IEHP medi-cal |
$4.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8.58
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.57
|
| Rate for Payer: Multiplan Commercial |
$9.65
|
| Rate for Payer: Networks By Design Commercial |
$8.37
|
| Rate for Payer: Prime Health Services Commercial |
$10.94
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$7.72
|
| Rate for Payer: Riverside University Health MISP |
$5.15
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7.72
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7.72
|
| Rate for Payer: United Healthcare All Other Commercial |
$6.44
|
| Rate for Payer: United Healthcare All Other HMO |
$6.44
|
| Rate for Payer: United Healthcare HMO Rider |
$6.44
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6.44
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$10.94
|
| Rate for Payer: Vantage Medical Group Senior |
$10.94
|
|
|
HC SUTURE SILK 0 18" 678H
|
Facility
IP
|
$12.87
|
|
| Hospital Charge Code |
901601275
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.57 |
| Max. Negotiated Rate |
$11.58 |
| Rate for Payer: Cash Price |
$5.79
|
| Rate for Payer: Central Health Plan Commercial |
$10.30
|
| Rate for Payer: EPIC Health Plan Commercial |
$5.15
|
| Rate for Payer: Galaxy Health WC |
$10.94
|
| Rate for Payer: Global Benefits Group Commercial |
$7.72
|
| Rate for Payer: Health Management Network EPO/PPO |
$11.58
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8.58
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.57
|
| Rate for Payer: Multiplan Commercial |
$9.65
|
| Rate for Payer: Networks By Design Commercial |
$8.37
|
| Rate for Payer: Prime Health Services Commercial |
$10.94
|
|
|
HC SUTURE SILK 0 18" BR 119068
|
Facility
OP
|
$13.94
|
|
| Hospital Charge Code |
901691006
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.79 |
| Max. Negotiated Rate |
$12.55 |
| Rate for Payer: Aetna of CA HMO/PPO |
$8.47
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$11.85
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7.67
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7.67
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6.75
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8.24
|
| Rate for Payer: BCBS Transplant Transplant |
$8.36
|
| Rate for Payer: Blue Shield of California Commercial |
$8.77
|
| Rate for Payer: Blue Shield of California EPN |
$6.82
|
| Rate for Payer: Cash Price |
$6.27
|
| Rate for Payer: Central Health Plan Commercial |
$11.15
|
| Rate for Payer: Cigna of CA HMO |
$8.92
|
| Rate for Payer: Cigna of CA PPO |
$10.32
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11.85
|
| Rate for Payer: EPIC Health Plan Commercial |
$5.58
|
| Rate for Payer: EPIC Health Plan Transplant |
$5.58
|
| Rate for Payer: Galaxy Health WC |
$11.85
|
| Rate for Payer: Global Benefits Group Commercial |
$8.36
|
| Rate for Payer: Health Management Network EPO/PPO |
$12.55
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$10.46
|
| Rate for Payer: IEHP medi-cal |
$4.88
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9.30
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.79
|
| Rate for Payer: Multiplan Commercial |
$10.46
|
| Rate for Payer: Networks By Design Commercial |
$9.06
|
| Rate for Payer: Prime Health Services Commercial |
$11.85
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$8.36
|
| Rate for Payer: Riverside University Health MISP |
$5.58
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8.36
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$8.36
|
| Rate for Payer: United Healthcare All Other Commercial |
$6.97
|
| Rate for Payer: United Healthcare All Other HMO |
$6.97
|
| Rate for Payer: United Healthcare HMO Rider |
$6.97
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6.97
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11.85
|
| Rate for Payer: Vantage Medical Group Senior |
$11.85
|
|
|
HC SUTURE SILK 0 18" BR 119068
|
Facility
IP
|
$13.94
|
|
| Hospital Charge Code |
901691006
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.79 |
| Max. Negotiated Rate |
$12.55 |
| Rate for Payer: Cash Price |
$6.27
|
| Rate for Payer: Central Health Plan Commercial |
$11.15
|
| Rate for Payer: EPIC Health Plan Commercial |
$5.58
|
| Rate for Payer: Galaxy Health WC |
$11.85
|
| Rate for Payer: Global Benefits Group Commercial |
$8.36
|
| Rate for Payer: Health Management Network EPO/PPO |
$12.55
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9.30
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.79
|
| Rate for Payer: Multiplan Commercial |
$10.46
|
| Rate for Payer: Networks By Design Commercial |
$9.06
|
| Rate for Payer: Prime Health Services Commercial |
$11.85
|
|
|
HC SUTURE SILK 0 30" 680H
|
Facility
OP
|
$12.38
|
|
| Hospital Charge Code |
901604311
|
|
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 SILK 0 30" 680H
|
Facility
IP
|
$12.38
|
|
| Hospital Charge Code |
901604311
|
|
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 SILK 2-0 18" FS
|
Facility
OP
|
$10.91
|
|
| Hospital Charge Code |
901601276
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.18 |
| Max. Negotiated Rate |
$9.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$6.63
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$9.27
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$6.00
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$6.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5.28
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$6.45
|
| Rate for Payer: BCBS Transplant Transplant |
$6.55
|
| Rate for Payer: Blue Shield of California Commercial |
$6.86
|
| Rate for Payer: Blue Shield of California EPN |
$5.33
|
| Rate for Payer: Cash Price |
$4.91
|
| Rate for Payer: Central Health Plan Commercial |
$8.73
|
| Rate for Payer: Cigna of CA HMO |
$6.98
|
| Rate for Payer: Cigna of CA PPO |
$8.07
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$9.27
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.36
|
| Rate for Payer: EPIC Health Plan Transplant |
$4.36
|
| Rate for Payer: Galaxy Health WC |
$9.27
|
| Rate for Payer: Global Benefits Group Commercial |
$6.55
|
| Rate for Payer: Health Management Network EPO/PPO |
$9.82
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$8.18
|
| Rate for Payer: IEHP medi-cal |
$3.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7.28
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.18
|
| Rate for Payer: Multiplan Commercial |
$8.18
|
| Rate for Payer: Networks By Design Commercial |
$7.09
|
| Rate for Payer: Prime Health Services Commercial |
$9.27
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$6.55
|
| Rate for Payer: Riverside University Health MISP |
$4.36
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$6.55
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$6.55
|
| Rate for Payer: United Healthcare All Other Commercial |
$5.46
|
| Rate for Payer: United Healthcare All Other HMO |
$5.46
|
| Rate for Payer: United Healthcare HMO Rider |
$5.46
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$5.46
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$9.27
|
| Rate for Payer: Vantage Medical Group Senior |
$9.27
|
|
|
HC SUTURE SILK 2-0 18" FS
|
Facility
IP
|
$10.91
|
|
| Hospital Charge Code |
901601276
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.18 |
| Max. Negotiated Rate |
$9.82 |
| Rate for Payer: Cash Price |
$4.91
|
| Rate for Payer: Central Health Plan Commercial |
$8.73
|
| Rate for Payer: EPIC Health Plan Commercial |
$4.36
|
| Rate for Payer: Galaxy Health WC |
$9.27
|
| Rate for Payer: Global Benefits Group Commercial |
$6.55
|
| Rate for Payer: Health Management Network EPO/PPO |
$9.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$7.28
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.18
|
| Rate for Payer: Multiplan Commercial |
$8.18
|
| Rate for Payer: Networks By Design Commercial |
$7.09
|
| Rate for Payer: Prime Health Services Commercial |
$9.27
|
|
|
HC SUTURE SILK 2-0 24" 100301
|
Facility
OP
|
$16.89
|
|
| Hospital Charge Code |
901694654
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.38 |
| Max. Negotiated Rate |
$15.20 |
| Rate for Payer: Aetna of CA HMO/PPO |
$10.26
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$14.36
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$9.29
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$9.29
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$8.18
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$9.98
|
| Rate for Payer: BCBS Transplant Transplant |
$10.13
|
| Rate for Payer: Blue Shield of California Commercial |
$10.62
|
| Rate for Payer: Blue Shield of California EPN |
$8.26
|
| Rate for Payer: Cash Price |
$7.60
|
| Rate for Payer: Central Health Plan Commercial |
$13.51
|
| Rate for Payer: Cigna of CA HMO |
$10.81
|
| Rate for Payer: Cigna of CA PPO |
$12.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$14.36
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.76
|
| Rate for Payer: EPIC Health Plan Transplant |
$6.76
|
| Rate for Payer: Galaxy Health WC |
$14.36
|
| Rate for Payer: Global Benefits Group Commercial |
$10.13
|
| Rate for Payer: Health Management Network EPO/PPO |
$15.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$12.67
|
| Rate for Payer: IEHP medi-cal |
$5.91
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.38
|
| Rate for Payer: Multiplan Commercial |
$12.67
|
| Rate for Payer: Networks By Design Commercial |
$10.98
|
| Rate for Payer: Prime Health Services Commercial |
$14.36
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$10.13
|
| Rate for Payer: Riverside University Health MISP |
$6.76
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$10.13
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$10.13
|
| Rate for Payer: United Healthcare All Other Commercial |
$8.44
|
| Rate for Payer: United Healthcare All Other HMO |
$8.44
|
| Rate for Payer: United Healthcare HMO Rider |
$8.44
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$8.44
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$14.36
|
| Rate for Payer: Vantage Medical Group Senior |
$14.36
|
|
|
HC SUTURE SILK 2-0 24" 100301
|
Facility
IP
|
$16.89
|
|
| Hospital Charge Code |
901694654
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$3.38 |
| Max. Negotiated Rate |
$15.20 |
| Rate for Payer: Cash Price |
$7.60
|
| Rate for Payer: Central Health Plan Commercial |
$13.51
|
| Rate for Payer: EPIC Health Plan Commercial |
$6.76
|
| Rate for Payer: Galaxy Health WC |
$14.36
|
| Rate for Payer: Global Benefits Group Commercial |
$10.13
|
| Rate for Payer: Health Management Network EPO/PPO |
$15.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$11.27
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3.38
|
| Rate for Payer: Multiplan Commercial |
$12.67
|
| Rate for Payer: Networks By Design Commercial |
$10.98
|
| Rate for Payer: Prime Health Services Commercial |
$14.36
|
|
|
HC SUTURE SILK 2-0 30" SH
|
Facility
OP
|
$8.69
|
|
| Hospital Charge Code |
901604004
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.74 |
| Max. Negotiated Rate |
$7.82 |
| Rate for Payer: Aetna of CA HMO/PPO |
$5.28
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$7.39
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$4.78
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$4.78
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5.13
|
| Rate for Payer: BCBS Transplant Transplant |
$5.21
|
| Rate for Payer: Blue Shield of California Commercial |
$5.47
|
| Rate for Payer: Blue Shield of California EPN |
$4.25
|
| Rate for Payer: Cash Price |
$3.91
|
| Rate for Payer: Central Health Plan Commercial |
$6.95
|
| Rate for Payer: Cigna of CA HMO |
$5.56
|
| Rate for Payer: Cigna of CA PPO |
$6.43
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7.39
|
| Rate for Payer: EPIC Health Plan Commercial |
$3.48
|
| Rate for Payer: EPIC Health Plan Transplant |
$3.48
|
| Rate for Payer: Galaxy Health WC |
$7.39
|
| Rate for Payer: Global Benefits Group Commercial |
$5.21
|
| Rate for Payer: Health Management Network EPO/PPO |
$7.82
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$6.52
|
| Rate for Payer: IEHP medi-cal |
$3.04
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.74
|
| Rate for Payer: Multiplan Commercial |
$6.52
|
| Rate for Payer: Networks By Design Commercial |
$5.65
|
| Rate for Payer: Prime Health Services Commercial |
$7.39
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$5.21
|
| Rate for Payer: Riverside University Health MISP |
$3.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5.21
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5.21
|
| Rate for Payer: United Healthcare All Other Commercial |
$4.34
|
| Rate for Payer: United Healthcare All Other HMO |
$4.34
|
| Rate for Payer: United Healthcare HMO Rider |
$4.34
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4.34
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7.39
|
| Rate for Payer: Vantage Medical Group Senior |
$7.39
|
|
|
HC SUTURE SILK 2-0 30" SH
|
Facility
IP
|
$8.69
|
|
| Hospital Charge Code |
901604004
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.74 |
| Max. Negotiated Rate |
$7.82 |
| Rate for Payer: Cash Price |
$3.91
|
| Rate for Payer: Central Health Plan Commercial |
$6.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$3.48
|
| Rate for Payer: Galaxy Health WC |
$7.39
|
| Rate for Payer: Global Benefits Group Commercial |
$5.21
|
| Rate for Payer: Health Management Network EPO/PPO |
$7.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.74
|
| Rate for Payer: Multiplan Commercial |
$6.52
|
| Rate for Payer: Networks By Design Commercial |
$5.65
|
| Rate for Payer: Prime Health Services Commercial |
$7.39
|
|
|
HC SUTURE SILK 2-0 BRAID 128055
|
Facility
OP
|
$14.60
|
|
| Hospital Charge Code |
901694617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.92 |
| Max. Negotiated Rate |
$13.14 |
| Rate for Payer: Aetna of CA HMO/PPO |
$8.87
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$12.41
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$8.03
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$8.03
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$7.07
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8.63
|
| Rate for Payer: BCBS Transplant Transplant |
$8.76
|
| Rate for Payer: Blue Shield of California Commercial |
$9.18
|
| Rate for Payer: Blue Shield of California EPN |
$7.14
|
| Rate for Payer: Cash Price |
$6.57
|
| Rate for Payer: Central Health Plan Commercial |
$11.68
|
| Rate for Payer: Cigna of CA HMO |
$9.34
|
| Rate for Payer: Cigna of CA PPO |
$10.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$12.41
|
| Rate for Payer: EPIC Health Plan Commercial |
$5.84
|
| Rate for Payer: EPIC Health Plan Transplant |
$5.84
|
| Rate for Payer: Galaxy Health WC |
$12.41
|
| Rate for Payer: Global Benefits Group Commercial |
$8.76
|
| Rate for Payer: Health Management Network EPO/PPO |
$13.14
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$10.95
|
| Rate for Payer: IEHP medi-cal |
$5.11
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.92
|
| Rate for Payer: Multiplan Commercial |
$10.95
|
| Rate for Payer: Networks By Design Commercial |
$9.49
|
| Rate for Payer: Prime Health Services Commercial |
$12.41
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$8.76
|
| Rate for Payer: Riverside University Health MISP |
$5.84
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8.76
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$8.76
|
| Rate for Payer: United Healthcare All Other Commercial |
$7.30
|
| Rate for Payer: United Healthcare All Other HMO |
$7.30
|
| Rate for Payer: United Healthcare HMO Rider |
$7.30
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7.30
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$12.41
|
| Rate for Payer: Vantage Medical Group Senior |
$12.41
|
|
|
HC SUTURE SILK 2-0 BRAID 128055
|
Facility
IP
|
$14.60
|
|
| Hospital Charge Code |
901694617
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$2.92 |
| Max. Negotiated Rate |
$13.14 |
| Rate for Payer: Cash Price |
$6.57
|
| Rate for Payer: Central Health Plan Commercial |
$11.68
|
| Rate for Payer: EPIC Health Plan Commercial |
$5.84
|
| Rate for Payer: Galaxy Health WC |
$12.41
|
| Rate for Payer: Global Benefits Group Commercial |
$8.76
|
| Rate for Payer: Health Management Network EPO/PPO |
$13.14
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9.74
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2.92
|
| Rate for Payer: Multiplan Commercial |
$10.95
|
| Rate for Payer: Networks By Design Commercial |
$9.49
|
| Rate for Payer: Prime Health Services Commercial |
$12.41
|
|
|
HC SUTURE SILK #2, 60" 116183
|
Facility
IP
|
$9.10
|
|
| Hospital Charge Code |
901694661
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.82 |
| Max. Negotiated Rate |
$8.19 |
| Rate for Payer: Cash Price |
$4.10
|
| Rate for Payer: Central Health Plan Commercial |
$7.28
|
| Rate for Payer: EPIC Health Plan Commercial |
$3.64
|
| Rate for Payer: Galaxy Health WC |
$7.74
|
| Rate for Payer: Global Benefits Group Commercial |
$5.46
|
| Rate for Payer: Health Management Network EPO/PPO |
$8.19
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.82
|
| Rate for Payer: Multiplan Commercial |
$6.82
|
| Rate for Payer: Networks By Design Commercial |
$5.92
|
| Rate for Payer: Prime Health Services Commercial |
$7.74
|
|
|
HC SUTURE SILK #2, 60" 116183
|
Facility
OP
|
$9.10
|
|
| Hospital Charge Code |
901694661
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$1.82 |
| Max. Negotiated Rate |
$8.19 |
| Rate for Payer: Aetna of CA HMO/PPO |
$5.53
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$7.74
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$5.00
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$5.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4.41
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5.38
|
| Rate for Payer: BCBS Transplant Transplant |
$5.46
|
| Rate for Payer: Blue Shield of California Commercial |
$5.72
|
| Rate for Payer: Blue Shield of California EPN |
$4.45
|
| Rate for Payer: Cash Price |
$4.10
|
| Rate for Payer: Central Health Plan Commercial |
$7.28
|
| Rate for Payer: Cigna of CA HMO |
$5.82
|
| Rate for Payer: Cigna of CA PPO |
$6.73
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$7.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$3.64
|
| Rate for Payer: EPIC Health Plan Transplant |
$3.64
|
| Rate for Payer: Galaxy Health WC |
$7.74
|
| Rate for Payer: Global Benefits Group Commercial |
$5.46
|
| Rate for Payer: Health Management Network EPO/PPO |
$8.19
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$6.82
|
| Rate for Payer: IEHP medi-cal |
$3.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$6.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1.82
|
| Rate for Payer: Multiplan Commercial |
$6.82
|
| Rate for Payer: Networks By Design Commercial |
$5.92
|
| Rate for Payer: Prime Health Services Commercial |
$7.74
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$5.46
|
| Rate for Payer: Riverside University Health MISP |
$3.64
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5.46
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$5.46
|
| Rate for Payer: United Healthcare All Other Commercial |
$4.55
|
| Rate for Payer: United Healthcare All Other HMO |
$4.55
|
| Rate for Payer: United Healthcare HMO Rider |
$4.55
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4.55
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7.74
|
| Rate for Payer: Vantage Medical Group Senior |
$7.74
|
|
