|
HC THERMODILUTION CONG EVAL DEFECTS
|
Facility
OP
|
$3,517.00
|
|
|
Service Code
|
CPT 93598
|
| Hospital Charge Code |
906811598
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$703.40 |
| Max. Negotiated Rate |
$7,609.02 |
| Rate for Payer: Aetna of CA HMO/PPO |
$2,135.87
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2,989.45
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,934.35
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,934.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,702.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,077.84
|
| Rate for Payer: BCBS Transplant Transplant |
$2,110.20
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Cash Price |
$1,582.65
|
| Rate for Payer: Cash Price |
$1,582.65
|
| Rate for Payer: Cash Price |
$1,582.65
|
| Rate for Payer: Central Health Plan Commercial |
$2,813.60
|
| Rate for Payer: Cigna of CA PPO |
$2,602.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,989.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,406.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,406.80
|
| Rate for Payer: Galaxy Health WC |
$2,989.45
|
| Rate for Payer: Global Benefits Group Commercial |
$2,110.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,165.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$2,637.75
|
| Rate for Payer: IEHP medi-cal |
$1,230.95
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,345.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$703.40
|
| Rate for Payer: Multiplan Commercial |
$2,637.75
|
| Rate for Payer: Networks By Design Commercial |
$2,286.05
|
| Rate for Payer: Prime Health Services Commercial |
$2,989.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$2,110.20
|
| Rate for Payer: Riverside University Health MISP |
$1,406.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,110.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,110.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,834.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,517.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,041.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$951.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,989.45
|
| Rate for Payer: Vantage Medical Group Senior |
$2,989.45
|
|
|
HC THERMODILUTION CONG EVAL DEFECTS
|
Facility
OP
|
$3,517.00
|
|
|
Service Code
|
CPT 93598
|
| Hospital Charge Code |
906820098
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$703.40 |
| Max. Negotiated Rate |
$7,609.02 |
| Rate for Payer: Aetna of CA HMO/PPO |
$2,135.87
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2,989.45
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,934.35
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,934.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$1,702.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$2,077.84
|
| Rate for Payer: BCBS Transplant Transplant |
$2,110.20
|
| Rate for Payer: Blue Shield of California Commercial |
$7,609.02
|
| Rate for Payer: Blue Shield of California EPN |
$5,465.14
|
| Rate for Payer: Cash Price |
$1,582.65
|
| Rate for Payer: Cash Price |
$1,582.65
|
| Rate for Payer: Cash Price |
$1,582.65
|
| Rate for Payer: Central Health Plan Commercial |
$2,813.60
|
| Rate for Payer: Cigna of CA PPO |
$2,602.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,989.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,406.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,406.80
|
| Rate for Payer: Galaxy Health WC |
$2,989.45
|
| Rate for Payer: Global Benefits Group Commercial |
$2,110.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,165.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$2,637.75
|
| Rate for Payer: IEHP medi-cal |
$1,230.95
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,345.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$703.40
|
| Rate for Payer: Multiplan Commercial |
$2,637.75
|
| Rate for Payer: Networks By Design Commercial |
$2,286.05
|
| Rate for Payer: Prime Health Services Commercial |
$2,989.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$2,110.20
|
| Rate for Payer: Riverside University Health MISP |
$1,406.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,110.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$2,110.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,834.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,517.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,041.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$951.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,989.45
|
| Rate for Payer: Vantage Medical Group Senior |
$2,989.45
|
|
|
HC THERMODILUTION CONG EVAL DEFECTS
|
Facility
IP
|
$3,517.00
|
|
|
Service Code
|
CPT 93598
|
| Hospital Charge Code |
906820098
|
|
Hospital Revenue Code
|
481
|
| Min. Negotiated Rate |
$703.40 |
| Max. Negotiated Rate |
$3,165.30 |
| Rate for Payer: Cash Price |
$1,582.65
|
| Rate for Payer: Central Health Plan Commercial |
$2,813.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,406.80
|
| Rate for Payer: Galaxy Health WC |
$2,989.45
|
| Rate for Payer: Global Benefits Group Commercial |
$2,110.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,165.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,345.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$703.40
|
| Rate for Payer: Multiplan Commercial |
$2,637.75
|
| Rate for Payer: Networks By Design Commercial |
$2,286.05
|
| Rate for Payer: Prime Health Services Commercial |
$2,989.45
|
|
|
HC THIOCYANATE SERUM
|
Facility
OP
|
$45.00
|
|
|
Service Code
|
CPT 84430
|
| Hospital Charge Code |
900910463
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$9.00 |
| Max. Negotiated Rate |
$103.23 |
| Rate for Payer: Adventist Health Medi-Cal |
$11.63
|
| Rate for Payer: Aetna of CA HMO/PPO |
$85.41
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$17.44
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$12.79
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$11.63
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$84.63
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$103.23
|
| Rate for Payer: BCBS Transplant Transplant |
$27.00
|
| Rate for Payer: Blue Shield of California Commercial |
$27.81
|
| Rate for Payer: Blue Shield of California EPN |
$21.87
|
| Rate for Payer: Caremore Medicare Advantage |
$11.63
|
| Rate for Payer: Cash Price |
$20.25
|
| Rate for Payer: Cash Price |
$20.25
|
| Rate for Payer: Central Health Plan Commercial |
$36.00
|
| Rate for Payer: Cigna of CA HMO |
$28.80
|
| Rate for Payer: Cigna of CA PPO |
$33.30
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$17.44
|
| Rate for Payer: EPIC Health Plan Commercial |
$15.70
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$11.63
|
| Rate for Payer: EPIC Health Plan Transplant |
$11.63
|
| Rate for Payer: Galaxy Health WC |
$38.25
|
| Rate for Payer: Global Benefits Group Commercial |
$27.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$40.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$33.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$19.07
|
| Rate for Payer: IEHP medi-cal |
$19.19
|
| Rate for Payer: IEHP Medicare Advantage |
$11.63
|
| Rate for Payer: Innovage PACE Commercial |
$17.44
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$30.02
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$11.63
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$9.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$15.58
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$15.58
|
| Rate for Payer: Multiplan Commercial |
$33.75
|
| Rate for Payer: Networks By Design Commercial |
$29.25
|
| Rate for Payer: Prime Health Services Commercial |
$38.25
|
| Rate for Payer: Prime Health Services Medicare |
$12.33
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$27.00
|
| Rate for Payer: Riverside University Health MISP |
$12.79
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$27.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$27.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$9.42
|
| Rate for Payer: United Healthcare All Other HMO |
$9.42
|
| Rate for Payer: United Healthcare HMO Rider |
$9.42
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9.42
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$17.44
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$12.79
|
| Rate for Payer: Vantage Medical Group Senior |
$11.63
|
|
|
HC THIOCYANATE SERUM
|
Facility
IP
|
$460.00
|
|
|
Service Code
|
CPT 84430
|
| Hospital Charge Code |
900910463
|
|
Hospital Revenue Code
|
301
|
| Min. Negotiated Rate |
$92.00 |
| Max. Negotiated Rate |
$414.00 |
| Rate for Payer: Cash Price |
$207.00
|
| Rate for Payer: Central Health Plan Commercial |
$368.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$184.00
|
| Rate for Payer: Galaxy Health WC |
$391.00
|
| Rate for Payer: Global Benefits Group Commercial |
$276.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$414.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$306.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$92.00
|
| Rate for Payer: Multiplan Commercial |
$345.00
|
| Rate for Payer: Networks By Design Commercial |
$299.00
|
| Rate for Payer: Prime Health Services Commercial |
$391.00
|
|
|
HC THORACENTESIS ASPIRATN W GUID
|
Facility
OP
|
$4,358.00
|
|
|
Service Code
|
CPT 32555
|
| Hospital Charge Code |
900200007
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$784.90 |
| Max. Negotiated Rate |
$397,400.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$784.90
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,177.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$784.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$397,400.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: BCBS Transplant Transplant |
$2,614.80
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$784.90
|
| Rate for Payer: Cash Price |
$1,961.10
|
| Rate for Payer: Cash Price |
$1,961.10
|
| Rate for Payer: Cash Price |
$1,961.10
|
| Rate for Payer: Central Health Plan Commercial |
$3,486.40
|
| Rate for Payer: Cigna of CA PPO |
$3,224.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,177.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,059.62
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$784.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$784.90
|
| Rate for Payer: Galaxy Health WC |
$3,704.30
|
| Rate for Payer: Global Benefits Group Commercial |
$2,614.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,922.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3,268.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,287.24
|
| Rate for Payer: IEHP medi-cal |
$1,295.08
|
| Rate for Payer: IEHP Medicare Advantage |
$784.90
|
| Rate for Payer: Innovage PACE Commercial |
$1,177.35
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,906.79
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$784.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$871.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,051.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,051.77
|
| Rate for Payer: Multiplan Commercial |
$3,268.50
|
| Rate for Payer: Networks By Design Commercial |
$2,832.70
|
| Rate for Payer: Prime Health Services Commercial |
$3,704.30
|
| Rate for Payer: Prime Health Services Medicare |
$831.99
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$2,614.80
|
| Rate for Payer: Riverside University Health MISP |
$863.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,614.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,121.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,248.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,468.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,257.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,177.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: Vantage Medical Group Senior |
$784.90
|
|
|
HC THORACENTESIS ASPIRATN W GUID
|
Facility
IP
|
$4,358.00
|
|
|
Service Code
|
CPT 32555
|
| Hospital Charge Code |
909020158
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$871.60 |
| Max. Negotiated Rate |
$3,922.20 |
| Rate for Payer: Cash Price |
$1,961.10
|
| Rate for Payer: Central Health Plan Commercial |
$3,486.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,743.20
|
| Rate for Payer: Galaxy Health WC |
$3,704.30
|
| Rate for Payer: Global Benefits Group Commercial |
$2,614.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,922.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,906.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$871.60
|
| Rate for Payer: Multiplan Commercial |
$3,268.50
|
| Rate for Payer: Networks By Design Commercial |
$2,832.70
|
| Rate for Payer: Prime Health Services Commercial |
$3,704.30
|
|
|
HC THORACENTESIS ASPIRATN W GUID
|
Facility
OP
|
$4,358.00
|
|
|
Service Code
|
CPT 32555
|
| Hospital Charge Code |
909020158
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$784.90 |
| Max. Negotiated Rate |
$397,400.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$784.90
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,177.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$784.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$397,400.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: BCBS Transplant Transplant |
$2,614.80
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$784.90
|
| Rate for Payer: Cash Price |
$1,961.10
|
| Rate for Payer: Cash Price |
$1,961.10
|
| Rate for Payer: Cash Price |
$1,961.10
|
| Rate for Payer: Central Health Plan Commercial |
$3,486.40
|
| Rate for Payer: Cigna of CA PPO |
$3,224.92
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,177.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,059.62
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$784.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$784.90
|
| Rate for Payer: Galaxy Health WC |
$3,704.30
|
| Rate for Payer: Global Benefits Group Commercial |
$2,614.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,922.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$3,268.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,287.24
|
| Rate for Payer: IEHP medi-cal |
$1,295.08
|
| Rate for Payer: IEHP Medicare Advantage |
$784.90
|
| Rate for Payer: Innovage PACE Commercial |
$1,177.35
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,906.79
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$784.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$871.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,051.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,051.77
|
| Rate for Payer: Multiplan Commercial |
$3,268.50
|
| Rate for Payer: Networks By Design Commercial |
$2,832.70
|
| Rate for Payer: Prime Health Services Commercial |
$3,704.30
|
| Rate for Payer: Prime Health Services Medicare |
$831.99
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$2,614.80
|
| Rate for Payer: Riverside University Health MISP |
$863.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$2,614.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,121.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,248.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,468.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,257.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,177.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: Vantage Medical Group Senior |
$784.90
|
|
|
HC THORACENTESIS ASPIRATN W GUID
|
Facility
IP
|
$4,358.00
|
|
|
Service Code
|
CPT 32555
|
| Hospital Charge Code |
900200007
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$871.60 |
| Max. Negotiated Rate |
$3,922.20 |
| Rate for Payer: Cash Price |
$1,961.10
|
| Rate for Payer: Central Health Plan Commercial |
$3,486.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,743.20
|
| Rate for Payer: Galaxy Health WC |
$3,704.30
|
| Rate for Payer: Global Benefits Group Commercial |
$2,614.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$3,922.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$2,906.79
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$871.60
|
| Rate for Payer: Multiplan Commercial |
$3,268.50
|
| Rate for Payer: Networks By Design Commercial |
$2,832.70
|
| Rate for Payer: Prime Health Services Commercial |
$3,704.30
|
|
|
HC THORACENTESIS ASPIRATN WO GUID
|
Facility
IP
|
$2,974.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
900800117
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$594.80 |
| Max. Negotiated Rate |
$2,676.60 |
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Central Health Plan Commercial |
$2,379.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,189.60
|
| Rate for Payer: Galaxy Health WC |
$2,527.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,784.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,676.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,983.66
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$594.80
|
| Rate for Payer: Multiplan Commercial |
$2,230.50
|
| Rate for Payer: Networks By Design Commercial |
$1,933.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,527.90
|
|
|
HC THORACENTESIS ASPIRATN WO GUID
|
Facility
OP
|
$2,974.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
901200036
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$594.80 |
| Max. Negotiated Rate |
$397,400.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$784.90
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,177.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$784.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$397,400.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: BCBS Transplant Transplant |
$1,784.40
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$784.90
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Central Health Plan Commercial |
$2,379.20
|
| Rate for Payer: Cigna of CA PPO |
$2,200.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,177.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,059.62
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$784.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$784.90
|
| Rate for Payer: Galaxy Health WC |
$2,527.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,784.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,676.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$2,230.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,287.24
|
| Rate for Payer: IEHP medi-cal |
$1,295.08
|
| Rate for Payer: IEHP Medicare Advantage |
$784.90
|
| Rate for Payer: Innovage PACE Commercial |
$1,177.35
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,983.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$784.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$594.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,051.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,051.77
|
| Rate for Payer: Multiplan Commercial |
$2,230.50
|
| Rate for Payer: Networks By Design Commercial |
$1,933.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,527.90
|
| Rate for Payer: Prime Health Services Medicare |
$831.99
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,784.40
|
| Rate for Payer: Riverside University Health MISP |
$863.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,784.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,121.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,248.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,468.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,257.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,177.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: Vantage Medical Group Senior |
$784.90
|
|
|
HC THORACENTESIS ASPIRATN WO GUID
|
Facility
IP
|
$2,974.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
901200036
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$594.80 |
| Max. Negotiated Rate |
$2,676.60 |
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Central Health Plan Commercial |
$2,379.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,189.60
|
| Rate for Payer: Galaxy Health WC |
$2,527.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,784.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,676.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,983.66
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$594.80
|
| Rate for Payer: Multiplan Commercial |
$2,230.50
|
| Rate for Payer: Networks By Design Commercial |
$1,933.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,527.90
|
|
|
HC THORACENTESIS ASPIRATN WO GUID
|
Facility
IP
|
$2,974.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
900800117
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$594.80 |
| Max. Negotiated Rate |
$2,676.60 |
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Central Health Plan Commercial |
$2,379.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,189.60
|
| Rate for Payer: Galaxy Health WC |
$2,527.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,784.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,676.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,983.66
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$594.80
|
| Rate for Payer: Multiplan Commercial |
$2,230.50
|
| Rate for Payer: Networks By Design Commercial |
$1,933.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,527.90
|
|
|
HC THORACENTESIS ASPIRATN WO GUID
|
Facility
OP
|
$2,974.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
900800117
|
|
Hospital Revenue Code
|
450
|
| Min. Negotiated Rate |
$400.00 |
| Max. Negotiated Rate |
$2,901.00 |
| 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 |
$1,177.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$784.90
|
| 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 |
$1,784.40
|
| Rate for Payer: Caremore Medicare Advantage |
$784.90
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Central Health Plan Commercial |
$2,379.20
|
| Rate for Payer: Cigna of CA PPO |
$2,200.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,177.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,059.62
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$784.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$784.90
|
| Rate for Payer: Galaxy Health WC |
$2,527.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,784.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,676.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$2,230.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,287.24
|
| Rate for Payer: IEHP medi-cal |
$936.00
|
| Rate for Payer: IEHP Medicare Advantage |
$784.90
|
| Rate for Payer: Innovage PACE Commercial |
$1,177.35
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,983.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$784.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$594.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,051.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,051.77
|
| Rate for Payer: Multiplan Commercial |
$2,230.50
|
| Rate for Payer: Networks By Design Commercial |
$1,933.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,527.90
|
| Rate for Payer: Prime Health Services Medicare |
$831.99
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,784.40
|
| Rate for Payer: Riverside University Health MISP |
$863.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,784.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,487.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,487.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,487.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,487.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,177.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: Vantage Medical Group Senior |
$784.90
|
|
|
HC THORACENTESIS ASPIRATN WO GUID
|
Facility
IP
|
$2,974.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
900800117
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$594.80 |
| Max. Negotiated Rate |
$2,676.60 |
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Central Health Plan Commercial |
$2,379.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,189.60
|
| Rate for Payer: Galaxy Health WC |
$2,527.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,784.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,676.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,983.66
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$594.80
|
| Rate for Payer: Multiplan Commercial |
$2,230.50
|
| Rate for Payer: Networks By Design Commercial |
$1,933.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,527.90
|
|
|
HC THORACENTESIS ASPIRATN WO GUID
|
Facility
OP
|
$2,974.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
900800117
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$594.80 |
| Max. Negotiated Rate |
$397,400.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$784.90
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,177.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$784.90
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$397,400.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: BCBS Transplant Transplant |
$1,784.40
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$784.90
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Central Health Plan Commercial |
$2,379.20
|
| Rate for Payer: Cigna of CA PPO |
$2,200.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,177.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,059.62
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$784.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$784.90
|
| Rate for Payer: Galaxy Health WC |
$2,527.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,784.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,676.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$2,230.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,287.24
|
| Rate for Payer: IEHP medi-cal |
$1,295.08
|
| Rate for Payer: IEHP Medicare Advantage |
$784.90
|
| Rate for Payer: Innovage PACE Commercial |
$1,177.35
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,983.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$784.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$594.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,051.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,051.77
|
| Rate for Payer: Multiplan Commercial |
$2,230.50
|
| Rate for Payer: Networks By Design Commercial |
$1,933.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,527.90
|
| Rate for Payer: Prime Health Services Medicare |
$831.99
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,784.40
|
| Rate for Payer: Riverside University Health MISP |
$863.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,784.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,121.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,248.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,468.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,257.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,177.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: Vantage Medical Group Senior |
$784.90
|
|
|
HC THORACENTESIS ASPIRATN WO GUID
|
Facility
OP
|
$2,974.00
|
|
|
Service Code
|
CPT 32554
|
| Hospital Charge Code |
900800117
|
|
Hospital Revenue Code
|
516
|
| Min. Negotiated Rate |
$594.80 |
| Max. Negotiated Rate |
$2,901.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$784.90
|
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$1,177.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$784.90
|
| 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 |
$1,784.40
|
| Rate for Payer: Blue Shield of California Commercial |
$1,870.65
|
| Rate for Payer: Blue Shield of California EPN |
$1,454.29
|
| Rate for Payer: Caremore Medicare Advantage |
$784.90
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Cash Price |
$1,338.30
|
| Rate for Payer: Central Health Plan Commercial |
$2,379.20
|
| Rate for Payer: Cigna of CA HMO |
$1,903.36
|
| Rate for Payer: Cigna of CA PPO |
$2,200.76
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$1,177.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,059.62
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$784.90
|
| Rate for Payer: EPIC Health Plan Transplant |
$784.90
|
| Rate for Payer: Galaxy Health WC |
$2,527.90
|
| Rate for Payer: Global Benefits Group Commercial |
$1,784.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,676.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$2,230.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$1,287.24
|
| Rate for Payer: IEHP medi-cal |
$1,295.08
|
| Rate for Payer: IEHP Medicare Advantage |
$784.90
|
| Rate for Payer: Innovage PACE Commercial |
$1,177.35
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,983.66
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$784.90
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$594.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$1,051.77
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$1,051.77
|
| Rate for Payer: Multiplan Commercial |
$2,230.50
|
| Rate for Payer: Networks By Design Commercial |
$1,933.10
|
| Rate for Payer: Prime Health Services Commercial |
$2,527.90
|
| Rate for Payer: Prime Health Services Medicare |
$831.99
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,784.40
|
| Rate for Payer: Riverside University Health MISP |
$863.39
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,784.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$1,784.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,487.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,487.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,487.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$1,487.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$1,177.35
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$863.39
|
| Rate for Payer: Vantage Medical Group Senior |
$784.90
|
|
|
HC THORACIC FACET JONT INJ,EA ADL
|
Facility
IP
|
$2,675.00
|
|
|
Service Code
|
CPT 64491
|
| Hospital Charge Code |
909000231
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$535.00 |
| Max. Negotiated Rate |
$2,407.50 |
| Rate for Payer: Cash Price |
$1,203.75
|
| Rate for Payer: Central Health Plan Commercial |
$2,140.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,070.00
|
| Rate for Payer: Galaxy Health WC |
$2,273.75
|
| Rate for Payer: Global Benefits Group Commercial |
$1,605.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,407.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,784.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$535.00
|
| Rate for Payer: Multiplan Commercial |
$2,006.25
|
| Rate for Payer: Networks By Design Commercial |
$1,738.75
|
| Rate for Payer: Prime Health Services Commercial |
$2,273.75
|
|
|
HC THORACIC FACET JONT INJ,EA ADL
|
Facility
OP
|
$2,675.00
|
|
|
Service Code
|
CPT 64491
|
| Hospital Charge Code |
909000231
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$535.00 |
| Max. Negotiated Rate |
$397,400.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$2,273.75
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$1,471.25
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$1,471.25
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$397,400.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,846.00
|
| Rate for Payer: BCBS Transplant Transplant |
$1,605.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Cash Price |
$1,203.75
|
| Rate for Payer: Cash Price |
$1,203.75
|
| Rate for Payer: Cash Price |
$1,203.75
|
| Rate for Payer: Central Health Plan Commercial |
$2,140.00
|
| Rate for Payer: Cigna of CA PPO |
$1,979.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$2,273.75
|
| Rate for Payer: EPIC Health Plan Commercial |
$1,070.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$1,070.00
|
| Rate for Payer: Galaxy Health WC |
$2,273.75
|
| Rate for Payer: Global Benefits Group Commercial |
$1,605.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$2,407.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$2,006.25
|
| Rate for Payer: IEHP medi-cal |
$936.25
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,784.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$535.00
|
| Rate for Payer: Multiplan Commercial |
$2,006.25
|
| Rate for Payer: Networks By Design Commercial |
$1,738.75
|
| Rate for Payer: Prime Health Services Commercial |
$2,273.75
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$1,605.00
|
| Rate for Payer: Riverside University Health MISP |
$1,070.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$1,605.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$1,834.00
|
| Rate for Payer: United Healthcare All Other HMO |
$1,517.00
|
| Rate for Payer: United Healthcare HMO Rider |
$1,041.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$951.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$2,273.75
|
| Rate for Payer: Vantage Medical Group Senior |
$2,273.75
|
|
|
HC THORACIC SPINE 2VIEWS
|
Facility
OP
|
$1,020.00
|
|
|
Service Code
|
CPT 72070
|
| Hospital Charge Code |
909001311
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$114.69 |
| Max. Negotiated Rate |
$918.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$137.36
|
| Rate for Payer: Aetna of CA HMO/PPO |
$128.97
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$206.04
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$151.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$137.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$135.32
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$165.06
|
| Rate for Payer: BCBS Transplant Transplant |
$612.00
|
| Rate for Payer: Blue Shield of California Commercial |
$630.36
|
| Rate for Payer: Blue Shield of California EPN |
$495.72
|
| Rate for Payer: Caremore Medicare Advantage |
$137.36
|
| Rate for Payer: Cash Price |
$459.00
|
| Rate for Payer: Cash Price |
$459.00
|
| Rate for Payer: Central Health Plan Commercial |
$816.00
|
| Rate for Payer: Cigna of CA HMO |
$652.80
|
| Rate for Payer: Cigna of CA PPO |
$754.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$206.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$185.44
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$137.36
|
| Rate for Payer: EPIC Health Plan Transplant |
$137.36
|
| Rate for Payer: Galaxy Health WC |
$867.00
|
| Rate for Payer: Global Benefits Group Commercial |
$612.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$918.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$765.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$225.27
|
| Rate for Payer: IEHP medi-cal |
$226.64
|
| Rate for Payer: IEHP Medicare Advantage |
$137.36
|
| Rate for Payer: Innovage PACE Commercial |
$206.04
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$680.34
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$137.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$204.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$184.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$184.06
|
| Rate for Payer: Multiplan Commercial |
$765.00
|
| Rate for Payer: Networks By Design Commercial |
$663.00
|
| Rate for Payer: Prime Health Services Commercial |
$867.00
|
| Rate for Payer: Prime Health Services Medicare |
$145.60
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$612.00
|
| Rate for Payer: Riverside University Health MISP |
$151.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$612.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$612.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$114.69
|
| Rate for Payer: United Healthcare All Other HMO |
$114.69
|
| Rate for Payer: United Healthcare HMO Rider |
$114.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$114.69
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$206.04
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$151.10
|
| Rate for Payer: Vantage Medical Group Senior |
$137.36
|
|
|
HC THORACIC SPINE 2VIEWS
|
Facility
IP
|
$1,020.00
|
|
|
Service Code
|
CPT 72070
|
| Hospital Charge Code |
909001311
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$204.00 |
| Max. Negotiated Rate |
$918.00 |
| Rate for Payer: Cash Price |
$459.00
|
| Rate for Payer: Central Health Plan Commercial |
$816.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$408.00
|
| Rate for Payer: Galaxy Health WC |
$867.00
|
| Rate for Payer: Global Benefits Group Commercial |
$612.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$918.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$680.34
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$204.00
|
| Rate for Payer: Multiplan Commercial |
$765.00
|
| Rate for Payer: Networks By Design Commercial |
$663.00
|
| Rate for Payer: Prime Health Services Commercial |
$867.00
|
|
|
HC THORACIC SPINE 3VIEWS
|
Facility
OP
|
$1,118.00
|
|
|
Service Code
|
CPT 72072
|
| Hospital Charge Code |
909001310
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$114.69 |
| Max. Negotiated Rate |
$1,006.20 |
| Rate for Payer: Adventist Health Medi-Cal |
$137.36
|
| Rate for Payer: Aetna of CA HMO/PPO |
$151.86
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$206.04
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$151.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$137.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$153.79
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$187.58
|
| Rate for Payer: BCBS Transplant Transplant |
$670.80
|
| Rate for Payer: Blue Shield of California Commercial |
$690.92
|
| Rate for Payer: Blue Shield of California EPN |
$543.35
|
| Rate for Payer: Caremore Medicare Advantage |
$137.36
|
| Rate for Payer: Cash Price |
$503.10
|
| Rate for Payer: Cash Price |
$503.10
|
| Rate for Payer: Central Health Plan Commercial |
$894.40
|
| Rate for Payer: Cigna of CA HMO |
$715.52
|
| Rate for Payer: Cigna of CA PPO |
$827.32
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$206.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$185.44
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$137.36
|
| Rate for Payer: EPIC Health Plan Transplant |
$137.36
|
| Rate for Payer: Galaxy Health WC |
$950.30
|
| Rate for Payer: Global Benefits Group Commercial |
$670.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,006.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$838.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$225.27
|
| Rate for Payer: IEHP medi-cal |
$226.64
|
| Rate for Payer: IEHP Medicare Advantage |
$137.36
|
| Rate for Payer: Innovage PACE Commercial |
$206.04
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$745.71
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$137.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$223.60
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$184.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$184.06
|
| Rate for Payer: Multiplan Commercial |
$838.50
|
| Rate for Payer: Networks By Design Commercial |
$726.70
|
| Rate for Payer: Prime Health Services Commercial |
$950.30
|
| Rate for Payer: Prime Health Services Medicare |
$145.60
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$670.80
|
| Rate for Payer: Riverside University Health MISP |
$151.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$670.80
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$670.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$114.69
|
| Rate for Payer: United Healthcare All Other HMO |
$114.69
|
| Rate for Payer: United Healthcare HMO Rider |
$114.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$114.69
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$206.04
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$151.10
|
| Rate for Payer: Vantage Medical Group Senior |
$137.36
|
|
|
HC THORACIC SPINE 3VIEWS
|
Facility
IP
|
$1,118.00
|
|
|
Service Code
|
CPT 72072
|
| Hospital Charge Code |
909001310
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$223.60 |
| Max. Negotiated Rate |
$1,006.20 |
| Rate for Payer: Cash Price |
$503.10
|
| Rate for Payer: Central Health Plan Commercial |
$894.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$447.20
|
| Rate for Payer: Galaxy Health WC |
$950.30
|
| Rate for Payer: Global Benefits Group Commercial |
$670.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,006.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$745.71
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$223.60
|
| Rate for Payer: Multiplan Commercial |
$838.50
|
| Rate for Payer: Networks By Design Commercial |
$726.70
|
| Rate for Payer: Prime Health Services Commercial |
$950.30
|
|
|
HC THORACIC SPINE 4 VIEWS
|
Facility
OP
|
$1,506.00
|
|
|
Service Code
|
CPT 72074
|
| Hospital Charge Code |
909001313
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$114.69 |
| Max. Negotiated Rate |
$1,355.40 |
| Rate for Payer: Adventist Health Medi-Cal |
$137.36
|
| Rate for Payer: Aetna of CA HMO/PPO |
$190.08
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$206.04
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$151.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$137.36
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$189.93
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$231.67
|
| Rate for Payer: BCBS Transplant Transplant |
$903.60
|
| Rate for Payer: Blue Shield of California Commercial |
$930.71
|
| Rate for Payer: Blue Shield of California EPN |
$731.92
|
| Rate for Payer: Caremore Medicare Advantage |
$137.36
|
| Rate for Payer: Cash Price |
$677.70
|
| Rate for Payer: Cash Price |
$677.70
|
| Rate for Payer: Central Health Plan Commercial |
$1,204.80
|
| Rate for Payer: Cigna of CA HMO |
$963.84
|
| Rate for Payer: Cigna of CA PPO |
$1,114.44
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$206.04
|
| Rate for Payer: EPIC Health Plan Commercial |
$185.44
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$137.36
|
| Rate for Payer: EPIC Health Plan Transplant |
$137.36
|
| Rate for Payer: Galaxy Health WC |
$1,280.10
|
| Rate for Payer: Global Benefits Group Commercial |
$903.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,355.40
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$1,129.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$225.27
|
| Rate for Payer: IEHP medi-cal |
$226.64
|
| Rate for Payer: IEHP Medicare Advantage |
$137.36
|
| Rate for Payer: Innovage PACE Commercial |
$206.04
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,004.50
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$137.36
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$301.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$184.06
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$184.06
|
| Rate for Payer: Multiplan Commercial |
$1,129.50
|
| Rate for Payer: Networks By Design Commercial |
$978.90
|
| Rate for Payer: Prime Health Services Commercial |
$1,280.10
|
| Rate for Payer: Prime Health Services Medicare |
$145.60
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$903.60
|
| Rate for Payer: Riverside University Health MISP |
$151.10
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$903.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$903.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$114.69
|
| Rate for Payer: United Healthcare All Other HMO |
$114.69
|
| Rate for Payer: United Healthcare HMO Rider |
$114.69
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$114.69
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$206.04
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$151.10
|
| Rate for Payer: Vantage Medical Group Senior |
$137.36
|
|
|
HC THORACIC SPINE 4 VIEWS
|
Facility
IP
|
$1,506.00
|
|
|
Service Code
|
CPT 72074
|
| Hospital Charge Code |
909001313
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$301.20 |
| Max. Negotiated Rate |
$1,355.40 |
| Rate for Payer: Cash Price |
$677.70
|
| Rate for Payer: Central Health Plan Commercial |
$1,204.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$602.40
|
| Rate for Payer: Galaxy Health WC |
$1,280.10
|
| Rate for Payer: Global Benefits Group Commercial |
$903.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$1,355.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$1,004.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$301.20
|
| Rate for Payer: Multiplan Commercial |
$1,129.50
|
| Rate for Payer: Networks By Design Commercial |
$978.90
|
| Rate for Payer: Prime Health Services Commercial |
$1,280.10
|
|
