|
HC TELETHERAPY ISODOSE PLANSIMPLE
|
Facility
OP
|
$1,578.00
|
|
|
Service Code
|
CPT 77306
|
| Hospital Charge Code |
909177306
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$315.60 |
| Max. Negotiated Rate |
$1,675.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$461.66
|
| Rate for Payer: Aetna of CA HMO/PPO |
$413.18
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$692.49
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$507.83
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$461.66
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$529.25
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$645.55
|
| Rate for Payer: BCBS Transplant Transplant |
$946.80
|
| Rate for Payer: Blue Shield of California Commercial |
$975.20
|
| Rate for Payer: Blue Shield of California EPN |
$766.91
|
| Rate for Payer: Caremore Medicare Advantage |
$461.66
|
| Rate for Payer: Cash Price |
$710.10
|
| Rate for Payer: Cash Price |
$710.10
|
| Rate for Payer: Cash Price |
$710.10
|
| Rate for Payer: Central Health Plan Commercial |
$1,262.40
|
| Rate for Payer: Cigna of CA HMO |
$1,009.92
|
| Rate for Payer: Cigna of CA PPO |
$1,167.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$692.49
|
| Rate for Payer: EPIC Health Plan Commercial |
$623.24
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$461.66
|
| Rate for Payer: EPIC Health Plan Transplant |
$461.66
|
| Rate for Payer: Galaxy Health WC |
$1,341.30
|
| Rate for Payer: Global Benefits Group Commercial |
$946.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,420.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1,183.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$757.12
|
| Rate for Payer: IEHP medi-cal |
$761.74
|
| Rate for Payer: IEHP Medicare Advantage |
$461.66
|
| Rate for Payer: Innovage PACE Commercial |
$692.49
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,052.53
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$461.66
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$315.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$618.62
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$618.62
|
| Rate for Payer: Multiplan Commercial |
$1,183.50
|
| Rate for Payer: Networks By Design Commercial |
$1,025.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,341.30
|
| Rate for Payer: Prime Health Services Medicare |
$489.36
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$946.80
|
| Rate for Payer: Riverside University Health MISP |
$507.83
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$946.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,659.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,675.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,269.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,161.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$692.49
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$507.83
|
| Rate for Payer: Vantage Medical Group Senior |
$461.66
|
|
|
HC TELETHERAPY ISODOSE PLANSIMPLE
|
Facility
IP
|
$1,578.00
|
|
|
Service Code
|
CPT 77306
|
| Hospital Charge Code |
909177306
|
|
Hospital Revenue Code
|
333
|
| Min. Negotiated Rate |
$315.60 |
| Max. Negotiated Rate |
$1,420.20 |
| Rate for Payer: Cash Price |
$710.10
|
| Rate for Payer: Central Health Plan Commercial |
$1,262.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$631.20
|
| Rate for Payer: EPIC Health Plan Transplant |
$631.20
|
| Rate for Payer: Galaxy Health WC |
$1,341.30
|
| Rate for Payer: Global Benefits Group Commercial |
$946.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,420.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,052.53
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$315.60
|
| Rate for Payer: Multiplan Commercial |
$1,183.50
|
| Rate for Payer: Networks By Design Commercial |
$1,025.70
|
| Rate for Payer: Prime Health Services Commercial |
$1,341.30
|
|
|
HC TEMP CLOSURE/EYELIDS BY SUTURE
|
Facility
OP
|
$4,271.00
|
|
|
Service Code
|
CPT 67875
|
| Hospital Charge Code |
900501425
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$854.20 |
| Max. Negotiated Rate |
$3,843.90 |
| Rate for Payer: Adventist Health Medi-Cal |
$1,264.97
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,897.46
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,391.47
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,264.97
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: BCBS Transplant Transplant |
$2,562.60
|
| Rate for Payer: Blue Shield of California Commercial |
$2,686.46
|
| Rate for Payer: Blue Shield of California EPN |
$2,088.52
|
| Rate for Payer: Caremore Medicare Advantage |
$1,264.97
|
| Rate for Payer: Cash Price |
$1,921.95
|
| Rate for Payer: Cash Price |
$1,921.95
|
| Rate for Payer: Cash Price |
$1,921.95
|
| Rate for Payer: Central Health Plan Commercial |
$3,416.80
|
| Rate for Payer: Cigna of CA HMO |
$2,733.44
|
| Rate for Payer: Cigna of CA PPO |
$3,160.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,897.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,707.71
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,264.97
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,264.97
|
| Rate for Payer: Galaxy Health WC |
$3,630.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,562.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,843.90
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3,203.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,074.55
|
| Rate for Payer: IEHP medi-cal |
$2,087.20
|
| Rate for Payer: IEHP Medicare Advantage |
$1,264.97
|
| Rate for Payer: Innovage PACE Commercial |
$1,897.46
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,848.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,264.97
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$854.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,695.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,695.06
|
| Rate for Payer: Multiplan Commercial |
$3,203.25
|
| Rate for Payer: Networks By Design Commercial |
$2,776.15
|
| Rate for Payer: Prime Health Services Commercial |
$3,630.35
|
| Rate for Payer: Prime Health Services Medicare |
$1,340.87
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$2,562.60
|
| Rate for Payer: Riverside University Health MISP |
$1,391.47
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,562.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,562.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,135.50
|
| Rate for Payer: United Healthcare All Other HMO |
$2,135.50
|
| Rate for Payer: United Healthcare HMO Rider |
$2,135.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,135.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,897.46
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,391.47
|
| Rate for Payer: Vantage Medical Group Senior |
$1,264.97
|
|
|
HC TEMP CLOSURE/EYELIDS BY SUTURE
|
Facility
OP
|
$4,271.00
|
|
|
Service Code
|
CPT 67875
|
| Hospital Charge Code |
900501425
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$3,843.90 |
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,897.46
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,391.47
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,264.97
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: BCBS Transplant Transplant |
$2,562.60
|
| Rate for Payer: Caremore Medicare Advantage |
$1,264.97
|
| Rate for Payer: Cash Price |
$1,921.95
|
| Rate for Payer: Cash Price |
$1,921.95
|
| Rate for Payer: Cash Price |
$1,921.95
|
| Rate for Payer: Cash Price |
$1,921.95
|
| Rate for Payer: Central Health Plan Commercial |
$3,416.80
|
| Rate for Payer: Cigna of CA PPO |
$3,160.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,897.46
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,707.71
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$1,264.97
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,264.97
|
| Rate for Payer: Galaxy Health WC |
$3,630.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,562.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,843.90
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3,203.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$2,074.55
|
| Rate for Payer: IEHP medi-cal |
$936.00
|
| Rate for Payer: IEHP Medicare Advantage |
$1,264.97
|
| Rate for Payer: Innovage PACE Commercial |
$1,897.46
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,848.76
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$1,264.97
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$854.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,695.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,695.06
|
| Rate for Payer: Multiplan Commercial |
$3,203.25
|
| Rate for Payer: Networks By Design Commercial |
$2,776.15
|
| Rate for Payer: Prime Health Services Commercial |
$3,630.35
|
| Rate for Payer: Prime Health Services Medicare |
$1,340.87
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$2,562.60
|
| Rate for Payer: Riverside University Health MISP |
$1,391.47
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,562.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$2,135.50
|
| Rate for Payer: United Healthcare All Other HMO |
$2,135.50
|
| Rate for Payer: United Healthcare HMO Rider |
$2,135.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,135.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,897.46
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$1,391.47
|
| Rate for Payer: Vantage Medical Group Senior |
$1,264.97
|
|
|
HC TEMP CLOSURE/EYELIDS BY SUTURE
|
Facility
IP
|
$4,271.00
|
|
|
Service Code
|
CPT 67875
|
| Hospital Charge Code |
900501425
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$854.20 |
| Max. Negotiated Rate |
$3,843.90 |
| Rate for Payer: Cash Price |
$1,921.95
|
| Rate for Payer: Central Health Plan Commercial |
$3,416.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,708.40
|
| Rate for Payer: Galaxy Health WC |
$3,630.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,562.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,843.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,848.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$854.20
|
| Rate for Payer: Multiplan Commercial |
$3,203.25
|
| Rate for Payer: Networks By Design Commercial |
$2,776.15
|
| Rate for Payer: Prime Health Services Commercial |
$3,630.35
|
|
|
HC TEMP CLOSURE/EYELIDS BY SUTURE
|
Facility
IP
|
$4,271.00
|
|
|
Service Code
|
CPT 67875
|
| Hospital Charge Code |
900501425
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$854.20 |
| Max. Negotiated Rate |
$3,843.90 |
| Rate for Payer: Cash Price |
$1,921.95
|
| Rate for Payer: Central Health Plan Commercial |
$3,416.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,708.40
|
| Rate for Payer: Galaxy Health WC |
$3,630.35
|
| Rate for Payer: Global Benefits Group Commercial |
$2,562.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,843.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,848.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$854.20
|
| Rate for Payer: Multiplan Commercial |
$3,203.25
|
| Rate for Payer: Networks By Design Commercial |
$2,776.15
|
| Rate for Payer: Prime Health Services Commercial |
$3,630.35
|
|
|
HC TEMP INSERT LEAD PCMKR DUAL
|
Facility
IP
|
$15,412.00
|
|
|
Service Code
|
CPT 33211
|
| Hospital Charge Code |
906820054
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,082.40 |
| Max. Negotiated Rate |
$13,870.80 |
| Rate for Payer: Cash Price |
$6,935.40
|
| Rate for Payer: Central Health Plan Commercial |
$12,329.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,164.80
|
| Rate for Payer: Galaxy Health WC |
$13,100.20
|
| Rate for Payer: Global Benefits Group Commercial |
$9,247.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,870.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10,279.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,082.40
|
| Rate for Payer: Multiplan Commercial |
$11,559.00
|
| Rate for Payer: Networks By Design Commercial |
$10,017.80
|
| Rate for Payer: Prime Health Services Commercial |
$13,100.20
|
|
|
HC TEMP INSERT LEAD PCMKR DUAL
|
Facility
IP
|
$15,412.00
|
|
|
Service Code
|
CPT 33211
|
| Hospital Charge Code |
906811356
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$3,082.40 |
| Max. Negotiated Rate |
$13,870.80 |
| Rate for Payer: Cash Price |
$6,935.40
|
| Rate for Payer: Central Health Plan Commercial |
$12,329.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,164.80
|
| Rate for Payer: Galaxy Health WC |
$13,100.20
|
| Rate for Payer: Global Benefits Group Commercial |
$9,247.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,870.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10,279.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,082.40
|
| Rate for Payer: Multiplan Commercial |
$11,559.00
|
| Rate for Payer: Networks By Design Commercial |
$10,017.80
|
| Rate for Payer: Prime Health Services Commercial |
$13,100.20
|
|
|
HC TEMP INSERT LEAD PCMKR DUAL
|
Facility
OP
|
$15,412.00
|
|
|
Service Code
|
CPT 33211
|
| Hospital Charge Code |
906811356
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$17,408.26 |
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10,614.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,084.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,511.92
|
| Rate for Payer: BCBS Transplant Transplant |
$9,247.20
|
| Rate for Payer: Caremore Medicare Advantage |
$10,614.79
|
| Rate for Payer: Cash Price |
$6,935.40
|
| Rate for Payer: Cash Price |
$6,935.40
|
| Rate for Payer: Cash Price |
$6,935.40
|
| Rate for Payer: Cash Price |
$6,935.40
|
| Rate for Payer: Central Health Plan Commercial |
$12,329.60
|
| Rate for Payer: Cigna of CA PPO |
$11,404.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,922.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,329.97
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,614.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,614.79
|
| Rate for Payer: Galaxy Health WC |
$13,100.20
|
| Rate for Payer: Global Benefits Group Commercial |
$9,247.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,870.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$11,559.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,408.26
|
| Rate for Payer: IEHP medi-cal |
$936.00
|
| Rate for Payer: IEHP Medicare Advantage |
$10,614.79
|
| Rate for Payer: Innovage PACE Commercial |
$15,922.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10,279.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,614.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,082.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,223.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,223.82
|
| Rate for Payer: Multiplan Commercial |
$11,559.00
|
| Rate for Payer: Multiplan WC |
$14,511.92
|
| Rate for Payer: Networks By Design Commercial |
$10,017.80
|
| Rate for Payer: Preferred Health Network WC |
$14,808.08
|
| Rate for Payer: Prime Health Services Commercial |
$13,100.20
|
| Rate for Payer: Prime Health Services Medicare |
$11,251.68
|
| Rate for Payer: Prime Health Services WC |
$14,363.84
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$9,247.20
|
| Rate for Payer: Riverside University Health MISP |
$11,676.27
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$9,247.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$7,706.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,706.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,706.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,706.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: Vantage Medical Group Senior |
$10,614.79
|
|
|
HC TEMP INSERT LEAD PCMKR DUAL
|
Facility
OP
|
$15,412.00
|
|
|
Service Code
|
CPT 33211
|
| Hospital Charge Code |
906811356
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,082.40 |
| Max. Negotiated Rate |
$27,445.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$10,614.79
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10,614.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,084.00
|
| Rate for Payer: BCBS Transplant Transplant |
$9,247.20
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$10,614.79
|
| Rate for Payer: Cash Price |
$6,935.40
|
| Rate for Payer: Cash Price |
$6,935.40
|
| Rate for Payer: Central Health Plan Commercial |
$12,329.60
|
| Rate for Payer: Cigna of CA PPO |
$11,404.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,922.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,329.97
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,614.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,614.79
|
| Rate for Payer: Galaxy Health WC |
$13,100.20
|
| Rate for Payer: Global Benefits Group Commercial |
$9,247.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,870.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$11,559.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,408.26
|
| Rate for Payer: IEHP medi-cal |
$17,514.40
|
| Rate for Payer: IEHP Medicare Advantage |
$10,614.79
|
| Rate for Payer: Innovage PACE Commercial |
$15,922.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10,279.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,614.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,082.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,223.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,223.82
|
| Rate for Payer: Multiplan Commercial |
$11,559.00
|
| Rate for Payer: Networks By Design Commercial |
$10,017.80
|
| Rate for Payer: Prime Health Services Commercial |
$13,100.20
|
| Rate for Payer: Prime Health Services Medicare |
$11,251.68
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$9,247.20
|
| Rate for Payer: Riverside University Health MISP |
$11,676.27
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$9,247.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,247.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$16,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,445.00
|
| Rate for Payer: United Healthcare HMO Rider |
$17,214.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,742.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: Vantage Medical Group Senior |
$10,614.79
|
|
|
HC TEMP INSERT LEAD PCMKR DUAL
|
Facility
IP
|
$15,412.00
|
|
|
Service Code
|
CPT 33211
|
| Hospital Charge Code |
906811356
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,082.40 |
| Max. Negotiated Rate |
$13,870.80 |
| Rate for Payer: Cash Price |
$6,935.40
|
| Rate for Payer: Central Health Plan Commercial |
$12,329.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,164.80
|
| Rate for Payer: Galaxy Health WC |
$13,100.20
|
| Rate for Payer: Global Benefits Group Commercial |
$9,247.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,870.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10,279.80
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,082.40
|
| Rate for Payer: Multiplan Commercial |
$11,559.00
|
| Rate for Payer: Networks By Design Commercial |
$10,017.80
|
| Rate for Payer: Prime Health Services Commercial |
$13,100.20
|
|
|
HC TEMP INSERT LEAD PCMKR DUAL
|
Facility
OP
|
$15,412.00
|
|
|
Service Code
|
CPT 33211
|
| Hospital Charge Code |
906820054
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$3,082.40 |
| Max. Negotiated Rate |
$27,445.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$10,614.79
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10,614.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,084.00
|
| Rate for Payer: BCBS Transplant Transplant |
$9,247.20
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$10,614.79
|
| Rate for Payer: Cash Price |
$6,935.40
|
| Rate for Payer: Cash Price |
$6,935.40
|
| Rate for Payer: Central Health Plan Commercial |
$12,329.60
|
| Rate for Payer: Cigna of CA PPO |
$11,404.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,922.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,329.97
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,614.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,614.79
|
| Rate for Payer: Galaxy Health WC |
$13,100.20
|
| Rate for Payer: Global Benefits Group Commercial |
$9,247.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,870.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$11,559.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,408.26
|
| Rate for Payer: IEHP medi-cal |
$17,514.40
|
| Rate for Payer: IEHP Medicare Advantage |
$10,614.79
|
| Rate for Payer: Innovage PACE Commercial |
$15,922.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10,279.80
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,614.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,082.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,223.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,223.82
|
| Rate for Payer: Multiplan Commercial |
$11,559.00
|
| Rate for Payer: Networks By Design Commercial |
$10,017.80
|
| Rate for Payer: Prime Health Services Commercial |
$13,100.20
|
| Rate for Payer: Prime Health Services Medicare |
$11,251.68
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$9,247.20
|
| Rate for Payer: Riverside University Health MISP |
$11,676.27
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$9,247.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,247.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$16,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,445.00
|
| Rate for Payer: United Healthcare HMO Rider |
$17,214.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,742.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: Vantage Medical Group Senior |
$10,614.79
|
|
|
HC TEMP INSERT LEAD PCMKR SNGL
|
Facility
OP
|
$14,678.00
|
|
|
Service Code
|
CPT 33210
|
| Hospital Charge Code |
906811309
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,935.60 |
| Max. Negotiated Rate |
$27,445.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$10,614.79
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10,614.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,084.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,511.92
|
| Rate for Payer: BCBS Transplant Transplant |
$8,806.80
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$10,614.79
|
| Rate for Payer: Cash Price |
$6,605.10
|
| Rate for Payer: Cash Price |
$6,605.10
|
| Rate for Payer: Central Health Plan Commercial |
$11,742.40
|
| Rate for Payer: Cigna of CA PPO |
$10,861.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,922.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,329.97
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,614.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,614.79
|
| Rate for Payer: Galaxy Health WC |
$12,476.30
|
| Rate for Payer: Global Benefits Group Commercial |
$8,806.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,210.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$11,008.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,408.26
|
| Rate for Payer: IEHP medi-cal |
$17,514.40
|
| Rate for Payer: IEHP Medicare Advantage |
$10,614.79
|
| Rate for Payer: Innovage PACE Commercial |
$15,922.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,790.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,614.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,935.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,223.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,223.82
|
| Rate for Payer: Multiplan Commercial |
$11,008.50
|
| Rate for Payer: Multiplan WC |
$14,511.92
|
| Rate for Payer: Networks By Design Commercial |
$9,540.70
|
| Rate for Payer: Preferred Health Network WC |
$14,808.08
|
| Rate for Payer: Prime Health Services Commercial |
$12,476.30
|
| Rate for Payer: Prime Health Services Medicare |
$11,251.68
|
| Rate for Payer: Prime Health Services WC |
$14,363.84
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$8,806.80
|
| Rate for Payer: Riverside University Health MISP |
$11,676.27
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,806.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$16,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,445.00
|
| Rate for Payer: United Healthcare HMO Rider |
$17,214.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,742.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: Vantage Medical Group Senior |
$10,614.79
|
|
|
HC TEMP INSERT LEAD PCMKR SNGL
|
Facility
OP
|
$14,678.00
|
|
|
Service Code
|
CPT 33210
|
| Hospital Charge Code |
906811309
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$17,408.26 |
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10,614.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,084.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,511.92
|
| Rate for Payer: BCBS Transplant Transplant |
$8,806.80
|
| Rate for Payer: Caremore Medicare Advantage |
$10,614.79
|
| Rate for Payer: Cash Price |
$6,605.10
|
| Rate for Payer: Cash Price |
$6,605.10
|
| Rate for Payer: Cash Price |
$6,605.10
|
| Rate for Payer: Cash Price |
$6,605.10
|
| Rate for Payer: Central Health Plan Commercial |
$11,742.40
|
| Rate for Payer: Cigna of CA PPO |
$10,861.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,922.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,329.97
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,614.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,614.79
|
| Rate for Payer: Galaxy Health WC |
$12,476.30
|
| Rate for Payer: Global Benefits Group Commercial |
$8,806.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,210.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$11,008.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,408.26
|
| Rate for Payer: IEHP medi-cal |
$936.00
|
| Rate for Payer: IEHP Medicare Advantage |
$10,614.79
|
| Rate for Payer: Innovage PACE Commercial |
$15,922.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,790.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,614.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,935.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,223.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,223.82
|
| Rate for Payer: Multiplan Commercial |
$11,008.50
|
| Rate for Payer: Multiplan WC |
$14,511.92
|
| Rate for Payer: Networks By Design Commercial |
$9,540.70
|
| Rate for Payer: Preferred Health Network WC |
$14,808.08
|
| Rate for Payer: Prime Health Services Commercial |
$12,476.30
|
| Rate for Payer: Prime Health Services Medicare |
$11,251.68
|
| Rate for Payer: Prime Health Services WC |
$14,363.84
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$8,806.80
|
| Rate for Payer: Riverside University Health MISP |
$11,676.27
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,806.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$7,339.00
|
| Rate for Payer: United Healthcare All Other HMO |
$7,339.00
|
| Rate for Payer: United Healthcare HMO Rider |
$7,339.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$7,339.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: Vantage Medical Group Senior |
$10,614.79
|
|
|
HC TEMP INSERT LEAD PCMKR SNGL
|
Facility
IP
|
$14,678.00
|
|
|
Service Code
|
CPT 33210
|
| Hospital Charge Code |
906811309
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$2,935.60 |
| Max. Negotiated Rate |
$13,210.20 |
| Rate for Payer: Cash Price |
$6,605.10
|
| Rate for Payer: Central Health Plan Commercial |
$11,742.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,871.20
|
| Rate for Payer: Galaxy Health WC |
$12,476.30
|
| Rate for Payer: Global Benefits Group Commercial |
$8,806.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,210.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,790.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,935.60
|
| Rate for Payer: Multiplan Commercial |
$11,008.50
|
| Rate for Payer: Networks By Design Commercial |
$9,540.70
|
| Rate for Payer: Prime Health Services Commercial |
$12,476.30
|
|
|
HC TEMP INSERT LEAD PCMKR SNGL
|
Facility
IP
|
$14,678.00
|
|
|
Service Code
|
CPT 33210
|
| Hospital Charge Code |
906811309
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,935.60 |
| Max. Negotiated Rate |
$13,210.20 |
| Rate for Payer: Cash Price |
$6,605.10
|
| Rate for Payer: Central Health Plan Commercial |
$11,742.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,871.20
|
| Rate for Payer: Galaxy Health WC |
$12,476.30
|
| Rate for Payer: Global Benefits Group Commercial |
$8,806.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,210.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,790.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,935.60
|
| Rate for Payer: Multiplan Commercial |
$11,008.50
|
| Rate for Payer: Networks By Design Commercial |
$9,540.70
|
| Rate for Payer: Prime Health Services Commercial |
$12,476.30
|
|
|
HC TEMP INSERT LEAD PCMKR SNGL
|
Facility
IP
|
$14,678.00
|
|
|
Service Code
|
CPT 33210
|
| Hospital Charge Code |
906820103
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,935.60 |
| Max. Negotiated Rate |
$13,210.20 |
| Rate for Payer: Cash Price |
$6,605.10
|
| Rate for Payer: Central Health Plan Commercial |
$11,742.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,871.20
|
| Rate for Payer: Galaxy Health WC |
$12,476.30
|
| Rate for Payer: Global Benefits Group Commercial |
$8,806.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,210.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,790.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,935.60
|
| Rate for Payer: Multiplan Commercial |
$11,008.50
|
| Rate for Payer: Networks By Design Commercial |
$9,540.70
|
| Rate for Payer: Prime Health Services Commercial |
$12,476.30
|
|
|
HC TEMP INSERT LEAD PCMKR SNGL
|
Facility
OP
|
$14,678.00
|
|
|
Service Code
|
CPT 33210
|
| Hospital Charge Code |
906820103
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,935.60 |
| Max. Negotiated Rate |
$27,445.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$10,614.79
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$10,614.79
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,084.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$14,511.92
|
| Rate for Payer: BCBS Transplant Transplant |
$8,806.80
|
| Rate for Payer: Blue Shield of California Commercial |
$12,373.72
|
| Rate for Payer: Blue Shield of California EPN |
$8,887.36
|
| Rate for Payer: Caremore Medicare Advantage |
$10,614.79
|
| Rate for Payer: Cash Price |
$6,605.10
|
| Rate for Payer: Cash Price |
$6,605.10
|
| Rate for Payer: Central Health Plan Commercial |
$11,742.40
|
| Rate for Payer: Cigna of CA PPO |
$10,861.72
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$15,922.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$14,329.97
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$10,614.79
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,614.79
|
| Rate for Payer: Galaxy Health WC |
$12,476.30
|
| Rate for Payer: Global Benefits Group Commercial |
$8,806.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$13,210.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$11,008.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$17,408.26
|
| Rate for Payer: IEHP medi-cal |
$17,514.40
|
| Rate for Payer: IEHP Medicare Advantage |
$10,614.79
|
| Rate for Payer: Innovage PACE Commercial |
$15,922.18
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,790.23
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,614.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,935.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$14,223.82
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$14,223.82
|
| Rate for Payer: Multiplan Commercial |
$11,008.50
|
| Rate for Payer: Multiplan WC |
$14,511.92
|
| Rate for Payer: Networks By Design Commercial |
$9,540.70
|
| Rate for Payer: Preferred Health Network WC |
$14,808.08
|
| Rate for Payer: Prime Health Services Commercial |
$12,476.30
|
| Rate for Payer: Prime Health Services Medicare |
$11,251.68
|
| Rate for Payer: Prime Health Services WC |
$14,363.84
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$8,806.80
|
| Rate for Payer: Riverside University Health MISP |
$11,676.27
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,806.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$16,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,445.00
|
| Rate for Payer: United Healthcare HMO Rider |
$17,214.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,742.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$15,922.18
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,676.27
|
| Rate for Payer: Vantage Medical Group Senior |
$10,614.79
|
|
|
HC TEMP TRANSCUTANEOUS PACING
|
Facility
IP
|
$3,072.00
|
|
|
Service Code
|
CPT 92953
|
| Hospital Charge Code |
906811141
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$614.40 |
| Max. Negotiated Rate |
$2,764.80 |
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Central Health Plan Commercial |
$2,457.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,228.80
|
| Rate for Payer: Galaxy Health WC |
$2,611.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,843.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,764.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,049.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$614.40
|
| Rate for Payer: Multiplan Commercial |
$2,304.00
|
| Rate for Payer: Networks By Design Commercial |
$1,996.80
|
| Rate for Payer: Prime Health Services Commercial |
$2,611.20
|
|
|
HC TEMP TRANSCUTANEOUS PACING
|
Facility
OP
|
$3,072.00
|
|
|
Service Code
|
CPT 92953
|
| Hospital Charge Code |
906811141
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$2,764.80 |
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,696.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,219.74
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$894.48
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$813.16
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: BCBS Transplant Transplant |
$1,843.20
|
| Rate for Payer: Caremore Medicare Advantage |
$813.16
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Central Health Plan Commercial |
$2,457.60
|
| Rate for Payer: Cigna of CA PPO |
$2,273.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,219.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,097.77
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$813.16
|
| Rate for Payer: EPIC Health Plan Transplant |
$813.16
|
| Rate for Payer: Galaxy Health WC |
$2,611.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,843.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,764.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$2,304.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,333.58
|
| Rate for Payer: IEHP medi-cal |
$936.00
|
| Rate for Payer: IEHP Medicare Advantage |
$813.16
|
| Rate for Payer: Innovage PACE Commercial |
$1,219.74
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,049.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$813.16
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$614.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,089.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,089.63
|
| Rate for Payer: Multiplan Commercial |
$2,304.00
|
| Rate for Payer: Networks By Design Commercial |
$1,996.80
|
| Rate for Payer: Prime Health Services Commercial |
$2,611.20
|
| Rate for Payer: Prime Health Services Medicare |
$861.95
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,843.20
|
| Rate for Payer: Riverside University Health MISP |
$894.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,843.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,536.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,536.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,536.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,536.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,219.74
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$894.48
|
| Rate for Payer: Vantage Medical Group Senior |
$813.16
|
|
|
HC TEMP TRANSCUTANEOUS PACING
|
Facility
OP
|
$3,072.00
|
|
|
Service Code
|
CPT 92953
|
| Hospital Charge Code |
906811141
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$64.49 |
| Max. Negotiated Rate |
$2,764.80 |
| Rate for Payer: Adventist Health Medi-Cal |
$813.16
|
| Rate for Payer: Aetna of CA HMO/PPO |
$64.49
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,219.74
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$894.48
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$813.16
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: BCBS Transplant Transplant |
$1,843.20
|
| Rate for Payer: Blue Shield of California Commercial |
$1,932.29
|
| Rate for Payer: Blue Shield of California EPN |
$1,502.21
|
| Rate for Payer: Caremore Medicare Advantage |
$813.16
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Central Health Plan Commercial |
$2,457.60
|
| Rate for Payer: Cigna of CA HMO |
$1,966.08
|
| Rate for Payer: Cigna of CA PPO |
$2,273.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,219.74
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,097.77
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$813.16
|
| Rate for Payer: EPIC Health Plan Transplant |
$813.16
|
| Rate for Payer: Galaxy Health WC |
$2,611.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,843.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,764.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$2,304.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,333.58
|
| Rate for Payer: IEHP medi-cal |
$1,341.71
|
| Rate for Payer: IEHP Medicare Advantage |
$813.16
|
| Rate for Payer: Innovage PACE Commercial |
$1,219.74
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,049.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$813.16
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$614.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,089.63
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,089.63
|
| Rate for Payer: Multiplan Commercial |
$2,304.00
|
| Rate for Payer: Networks By Design Commercial |
$1,996.80
|
| Rate for Payer: Prime Health Services Commercial |
$2,611.20
|
| Rate for Payer: Prime Health Services Medicare |
$861.95
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,843.20
|
| Rate for Payer: Riverside University Health MISP |
$894.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,843.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,843.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,536.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,536.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,536.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,536.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,219.74
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$894.48
|
| Rate for Payer: Vantage Medical Group Senior |
$813.16
|
|
|
HC TEMP TRANSCUTANEOUS PACING
|
Facility
IP
|
$3,072.00
|
|
|
Service Code
|
CPT 92953
|
| Hospital Charge Code |
906811141
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$614.40 |
| Max. Negotiated Rate |
$2,764.80 |
| Rate for Payer: Cash Price |
$1,382.40
|
| Rate for Payer: Central Health Plan Commercial |
$2,457.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,228.80
|
| Rate for Payer: Galaxy Health WC |
$2,611.20
|
| Rate for Payer: Global Benefits Group Commercial |
$1,843.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,764.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,049.02
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$614.40
|
| Rate for Payer: Multiplan Commercial |
$2,304.00
|
| Rate for Payer: Networks By Design Commercial |
$1,996.80
|
| Rate for Payer: Prime Health Services Commercial |
$2,611.20
|
|
|
HC TENOTOMY PERCUT TOE SNGL TENDN
|
Facility
IP
|
$8,359.00
|
|
|
Service Code
|
CPT 28010
|
| Hospital Charge Code |
900501072
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$1,671.80 |
| Max. Negotiated Rate |
$7,523.10 |
| Rate for Payer: Cash Price |
$3,761.55
|
| Rate for Payer: Central Health Plan Commercial |
$6,687.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,343.60
|
| Rate for Payer: Galaxy Health WC |
$7,105.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,015.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,523.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,575.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,671.80
|
| Rate for Payer: Multiplan Commercial |
$6,269.25
|
| Rate for Payer: Networks By Design Commercial |
$5,433.35
|
| Rate for Payer: Prime Health Services Commercial |
$7,105.15
|
|
|
HC TENOTOMY PERCUT TOE SNGL TENDN
|
Facility
OP
|
$8,359.00
|
|
|
Service Code
|
CPT 28010
|
| Hospital Charge Code |
900501072
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$7,523.10 |
| Rate for Payer: Adventist Health Medi-Cal |
$400.00
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,248.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$3,012.14
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$2,208.90
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$2,008.09
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,833.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,356.00
|
| Rate for Payer: BCBS Transplant Transplant |
$5,015.40
|
| Rate for Payer: Caremore Medicare Advantage |
$2,008.09
|
| Rate for Payer: Cash Price |
$3,761.55
|
| Rate for Payer: Cash Price |
$3,761.55
|
| Rate for Payer: Cash Price |
$3,761.55
|
| Rate for Payer: Cash Price |
$3,761.55
|
| Rate for Payer: Central Health Plan Commercial |
$6,687.20
|
| Rate for Payer: Cigna of CA PPO |
$6,185.66
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$3,012.14
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,710.92
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$2,008.09
|
| Rate for Payer: EPIC Health Plan Transplant |
$2,008.09
|
| Rate for Payer: Galaxy Health WC |
$7,105.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,015.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,523.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$6,269.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$3,293.27
|
| Rate for Payer: IEHP medi-cal |
$936.00
|
| Rate for Payer: IEHP Medicare Advantage |
$2,008.09
|
| Rate for Payer: Innovage PACE Commercial |
$3,012.14
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,575.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$2,008.09
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,671.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$2,690.84
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$2,690.84
|
| Rate for Payer: Multiplan Commercial |
$6,269.25
|
| Rate for Payer: Networks By Design Commercial |
$5,433.35
|
| Rate for Payer: Prime Health Services Commercial |
$7,105.15
|
| Rate for Payer: Prime Health Services Medicare |
$2,128.58
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$5,015.40
|
| Rate for Payer: Riverside University Health MISP |
$2,208.90
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$5,015.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,179.50
|
| Rate for Payer: United Healthcare All Other HMO |
$4,179.50
|
| Rate for Payer: United Healthcare HMO Rider |
$4,179.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$4,179.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$3,012.14
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,208.90
|
| Rate for Payer: Vantage Medical Group Senior |
$2,008.09
|
|
|
HC TENOTOMY PERCUT TOE SNGL TENDN
|
Facility
IP
|
$8,359.00
|
|
|
Service Code
|
CPT 28010
|
| Hospital Charge Code |
900501072
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$1,671.80 |
| Max. Negotiated Rate |
$7,523.10 |
| Rate for Payer: Cash Price |
$3,761.55
|
| Rate for Payer: Central Health Plan Commercial |
$6,687.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,343.60
|
| Rate for Payer: Galaxy Health WC |
$7,105.15
|
| Rate for Payer: Global Benefits Group Commercial |
$5,015.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,523.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,575.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,671.80
|
| Rate for Payer: Multiplan Commercial |
$6,269.25
|
| Rate for Payer: Networks By Design Commercial |
$5,433.35
|
| Rate for Payer: Prime Health Services Commercial |
$7,105.15
|
|
