|
HC TRANSCATH INSRTN DC LEADLESS PMKR RA RV COMP SYS
|
Facility
OP
|
$54,122.00
|
|
|
Service Code
|
CPT 0795T
|
| Hospital Charge Code |
906819777
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,465.14 |
| Max. Negotiated Rate |
$48,709.80 |
| Rate for Payer: Adventist Health Medi-Cal |
$24,345.49
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,417.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$36,518.24
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$26,780.04
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$24,345.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,205.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,975.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,283.75
|
| Rate for Payer: BCBS Transplant Transplant |
$32,473.20
|
| 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: Caremore Medicare Advantage |
$24,345.49
|
| Rate for Payer: Cash Price |
$24,354.90
|
| Rate for Payer: Cash Price |
$24,354.90
|
| Rate for Payer: Cash Price |
$24,354.90
|
| Rate for Payer: Central Health Plan Commercial |
$43,297.60
|
| Rate for Payer: Cigna of CA PPO |
$40,050.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36,518.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,866.41
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,345.49
|
| Rate for Payer: EPIC Health Plan Transplant |
$24,345.49
|
| Rate for Payer: Galaxy Health WC |
$46,003.70
|
| Rate for Payer: Global Benefits Group Commercial |
$32,473.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$48,709.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$40,591.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$39,926.60
|
| Rate for Payer: IEHP medi-cal |
$40,170.06
|
| Rate for Payer: IEHP Medicare Advantage |
$24,345.49
|
| Rate for Payer: Innovage PACE Commercial |
$36,518.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$36,099.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,345.49
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10,824.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,622.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,622.96
|
| Rate for Payer: Multiplan Commercial |
$40,591.50
|
| Rate for Payer: Multiplan WC |
$33,283.75
|
| Rate for Payer: Networks By Design Commercial |
$35,179.30
|
| Rate for Payer: Preferred Health Network WC |
$33,963.01
|
| Rate for Payer: Prime Health Services Commercial |
$46,003.70
|
| Rate for Payer: Prime Health Services Medicare |
$25,806.22
|
| Rate for Payer: Prime Health Services WC |
$32,944.12
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$32,473.20
|
| Rate for Payer: Riverside University Health MISP |
$26,780.04
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$32,473.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$27,061.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,061.00
|
| Rate for Payer: United Healthcare HMO Rider |
$27,061.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$27,061.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$36,518.24
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26,780.04
|
| Rate for Payer: Vantage Medical Group Senior |
$24,345.49
|
|
|
HC TRANSCATH INSRTN DC LEADLESS PMKR RV PM COMPNT
|
Facility
IP
|
$54,122.00
|
|
|
Service Code
|
CPT 0797T
|
| Hospital Charge Code |
906819779
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,824.40 |
| Max. Negotiated Rate |
$48,709.80 |
| Rate for Payer: Cash Price |
$24,354.90
|
| Rate for Payer: Central Health Plan Commercial |
$43,297.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,648.80
|
| Rate for Payer: Galaxy Health WC |
$46,003.70
|
| Rate for Payer: Global Benefits Group Commercial |
$32,473.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$48,709.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$36,099.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10,824.40
|
| Rate for Payer: Multiplan Commercial |
$40,591.50
|
| Rate for Payer: Networks By Design Commercial |
$35,179.30
|
| Rate for Payer: Prime Health Services Commercial |
$46,003.70
|
|
|
HC TRANSCATH INSRTN DC LEADLESS PMKR RV PM COMPNT
|
Facility
OP
|
$54,122.00
|
|
|
Service Code
|
CPT 0797T
|
| Hospital Charge Code |
906819779
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,465.14 |
| Max. Negotiated Rate |
$48,709.80 |
| Rate for Payer: Adventist Health Medi-Cal |
$24,345.49
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$36,518.24
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$26,780.04
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$24,345.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,205.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,975.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,283.75
|
| Rate for Payer: BCBS Transplant Transplant |
$32,473.20
|
| 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: Caremore Medicare Advantage |
$24,345.49
|
| Rate for Payer: Cash Price |
$24,354.90
|
| Rate for Payer: Cash Price |
$24,354.90
|
| Rate for Payer: Cash Price |
$24,354.90
|
| Rate for Payer: Central Health Plan Commercial |
$43,297.60
|
| Rate for Payer: Cigna of CA PPO |
$40,050.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36,518.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,866.41
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,345.49
|
| Rate for Payer: EPIC Health Plan Transplant |
$24,345.49
|
| Rate for Payer: Galaxy Health WC |
$46,003.70
|
| Rate for Payer: Global Benefits Group Commercial |
$32,473.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$48,709.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$40,591.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$39,926.60
|
| Rate for Payer: IEHP medi-cal |
$40,170.06
|
| Rate for Payer: IEHP Medicare Advantage |
$24,345.49
|
| Rate for Payer: Innovage PACE Commercial |
$36,518.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$36,099.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,345.49
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10,824.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,622.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,622.96
|
| Rate for Payer: Multiplan Commercial |
$40,591.50
|
| Rate for Payer: Multiplan WC |
$33,283.75
|
| Rate for Payer: Networks By Design Commercial |
$35,179.30
|
| Rate for Payer: Preferred Health Network WC |
$33,963.01
|
| Rate for Payer: Prime Health Services Commercial |
$46,003.70
|
| Rate for Payer: Prime Health Services Medicare |
$25,806.22
|
| Rate for Payer: Prime Health Services WC |
$32,944.12
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$32,473.20
|
| Rate for Payer: Riverside University Health MISP |
$26,780.04
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$32,473.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$27,061.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,061.00
|
| Rate for Payer: United Healthcare HMO Rider |
$27,061.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$27,061.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$36,518.24
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26,780.04
|
| Rate for Payer: Vantage Medical Group Senior |
$24,345.49
|
|
|
HC TRANSCATH INSRTN SC LEADLESS PMKR RA
|
Facility
IP
|
$54,122.00
|
|
|
Service Code
|
CPT 0823T
|
| Hospital Charge Code |
906819773
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$10,824.40 |
| Max. Negotiated Rate |
$48,709.80 |
| Rate for Payer: Cash Price |
$24,354.90
|
| Rate for Payer: Central Health Plan Commercial |
$43,297.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$21,648.80
|
| Rate for Payer: Galaxy Health WC |
$46,003.70
|
| Rate for Payer: Global Benefits Group Commercial |
$32,473.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$48,709.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$36,099.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10,824.40
|
| Rate for Payer: Multiplan Commercial |
$40,591.50
|
| Rate for Payer: Networks By Design Commercial |
$35,179.30
|
| Rate for Payer: Prime Health Services Commercial |
$46,003.70
|
|
|
HC TRANSCATH INSRTN SC LEADLESS PMKR RA
|
Facility
OP
|
$54,122.00
|
|
|
Service Code
|
CPT 0823T
|
| Hospital Charge Code |
906819773
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,465.14 |
| Max. Negotiated Rate |
$48,709.80 |
| Rate for Payer: Adventist Health Medi-Cal |
$24,345.49
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,417.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$36,518.24
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$26,780.04
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$24,345.49
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$26,205.87
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$31,975.28
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$33,283.75
|
| Rate for Payer: BCBS Transplant Transplant |
$32,473.20
|
| 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: Caremore Medicare Advantage |
$24,345.49
|
| Rate for Payer: Cash Price |
$24,354.90
|
| Rate for Payer: Cash Price |
$24,354.90
|
| Rate for Payer: Cash Price |
$24,354.90
|
| Rate for Payer: Central Health Plan Commercial |
$43,297.60
|
| Rate for Payer: Cigna of CA PPO |
$40,050.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36,518.24
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,866.41
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$24,345.49
|
| Rate for Payer: EPIC Health Plan Transplant |
$24,345.49
|
| Rate for Payer: Galaxy Health WC |
$46,003.70
|
| Rate for Payer: Global Benefits Group Commercial |
$32,473.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$48,709.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$40,591.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$39,926.60
|
| Rate for Payer: IEHP medi-cal |
$40,170.06
|
| Rate for Payer: IEHP Medicare Advantage |
$24,345.49
|
| Rate for Payer: Innovage PACE Commercial |
$36,518.24
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$36,099.37
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,345.49
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$10,824.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,622.96
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,622.96
|
| Rate for Payer: Multiplan Commercial |
$40,591.50
|
| Rate for Payer: Multiplan WC |
$33,283.75
|
| Rate for Payer: Networks By Design Commercial |
$35,179.30
|
| Rate for Payer: Preferred Health Network WC |
$33,963.01
|
| Rate for Payer: Prime Health Services Commercial |
$46,003.70
|
| Rate for Payer: Prime Health Services Medicare |
$25,806.22
|
| Rate for Payer: Prime Health Services WC |
$32,944.12
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$32,473.20
|
| Rate for Payer: Riverside University Health MISP |
$26,780.04
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$32,473.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$27,061.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,061.00
|
| Rate for Payer: United Healthcare HMO Rider |
$27,061.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$27,061.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$36,518.24
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26,780.04
|
| Rate for Payer: Vantage Medical Group Senior |
$24,345.49
|
|
|
HC TRANSCATH MITRAL VAL REPAIR AD
|
Facility
IP
|
$25,472.00
|
|
|
Service Code
|
CPT 33419
|
| Hospital Charge Code |
906820001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,094.40 |
| Max. Negotiated Rate |
$120,000.00 |
| Rate for Payer: Cash Price |
$11,462.40
|
| Rate for Payer: Cash Price |
$11,462.40
|
| Rate for Payer: Central Health Plan Commercial |
$20,377.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,188.80
|
| Rate for Payer: Galaxy Health WC |
$21,651.20
|
| Rate for Payer: Global Benefits Group Commercial |
$15,283.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,924.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,989.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,094.40
|
| Rate for Payer: Multiplan Commercial |
$19,104.00
|
| Rate for Payer: Networks By Design Commercial |
$120,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$21,651.20
|
|
|
HC TRANSCATH MITRAL VAL REPAIR AD
|
Facility
OP
|
$25,472.00
|
|
|
Service Code
|
CPT 33419
|
| Hospital Charge Code |
906811489
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$683.14 |
| Max. Negotiated Rate |
$22,924.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$2,370.40
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$21,651.20
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14,009.60
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$14,009.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$15,283.20
|
| Rate for Payer: Blue Shield of California Commercial |
$951.13
|
| Rate for Payer: Blue Shield of California EPN |
$683.14
|
| Rate for Payer: Cash Price |
$11,462.40
|
| Rate for Payer: Cash Price |
$11,462.40
|
| Rate for Payer: Central Health Plan Commercial |
$20,377.60
|
| Rate for Payer: Cigna of CA PPO |
$18,849.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21,651.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,188.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,188.80
|
| Rate for Payer: Galaxy Health WC |
$21,651.20
|
| Rate for Payer: Global Benefits Group Commercial |
$15,283.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,924.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$19,104.00
|
| Rate for Payer: IEHP medi-cal |
$8,915.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,989.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,094.40
|
| Rate for Payer: Multiplan Commercial |
$19,104.00
|
| Rate for Payer: Networks By Design Commercial |
$16,556.80
|
| Rate for Payer: Prime Health Services Commercial |
$21,651.20
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$15,283.20
|
| Rate for Payer: Riverside University Health MISP |
$10,188.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,283.20
|
| 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 |
$21,651.20
|
| Rate for Payer: Vantage Medical Group Senior |
$21,651.20
|
|
|
HC TRANSCATH MITRAL VAL REPAIR AD
|
Facility
IP
|
$25,472.00
|
|
|
Service Code
|
CPT 33419
|
| Hospital Charge Code |
906811489
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$5,094.40 |
| Max. Negotiated Rate |
$120,000.00 |
| Rate for Payer: Cash Price |
$11,462.40
|
| Rate for Payer: Cash Price |
$11,462.40
|
| Rate for Payer: Central Health Plan Commercial |
$20,377.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,188.80
|
| Rate for Payer: Galaxy Health WC |
$21,651.20
|
| Rate for Payer: Global Benefits Group Commercial |
$15,283.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,924.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,989.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,094.40
|
| Rate for Payer: Multiplan Commercial |
$19,104.00
|
| Rate for Payer: Networks By Design Commercial |
$120,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$21,651.20
|
|
|
HC TRANSCATH MITRAL VAL REPAIR AD
|
Facility
OP
|
$25,472.00
|
|
|
Service Code
|
CPT 33419
|
| Hospital Charge Code |
906820001
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$683.14 |
| Max. Negotiated Rate |
$22,924.80 |
| Rate for Payer: Aetna of CA HMO/PPO |
$2,370.40
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$21,651.20
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$14,009.60
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$14,009.60
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$15,283.20
|
| Rate for Payer: Blue Shield of California Commercial |
$951.13
|
| Rate for Payer: Blue Shield of California EPN |
$683.14
|
| Rate for Payer: Cash Price |
$11,462.40
|
| Rate for Payer: Cash Price |
$11,462.40
|
| Rate for Payer: Central Health Plan Commercial |
$20,377.60
|
| Rate for Payer: Cigna of CA PPO |
$18,849.28
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21,651.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,188.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$10,188.80
|
| Rate for Payer: Galaxy Health WC |
$21,651.20
|
| Rate for Payer: Global Benefits Group Commercial |
$15,283.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,924.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$19,104.00
|
| Rate for Payer: IEHP medi-cal |
$8,915.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,989.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,094.40
|
| Rate for Payer: Multiplan Commercial |
$19,104.00
|
| Rate for Payer: Networks By Design Commercial |
$16,556.80
|
| Rate for Payer: Prime Health Services Commercial |
$21,651.20
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$15,283.20
|
| Rate for Payer: Riverside University Health MISP |
$10,188.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,283.20
|
| 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 |
$21,651.20
|
| Rate for Payer: Vantage Medical Group Senior |
$21,651.20
|
|
|
HC TRANSCATH MITRAL VALVE ANNUL
|
Facility
OP
|
$82,271.00
|
|
|
Service Code
|
CPT 0544T
|
| Hospital Charge Code |
906820270
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$683.14 |
| Max. Negotiated Rate |
$74,043.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,472.44
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$69,930.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45,249.05
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$45,249.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$49,362.60
|
| Rate for Payer: Blue Shield of California Commercial |
$951.13
|
| Rate for Payer: Blue Shield of California EPN |
$683.14
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Central Health Plan Commercial |
$65,816.80
|
| Rate for Payer: Cigna of CA PPO |
$60,880.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$69,930.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,908.40
|
| Rate for Payer: EPIC Health Plan Transplant |
$32,908.40
|
| Rate for Payer: Galaxy Health WC |
$69,930.35
|
| Rate for Payer: Global Benefits Group Commercial |
$49,362.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$74,043.90
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$61,703.25
|
| Rate for Payer: IEHP medi-cal |
$28,794.85
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$54,874.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,454.20
|
| Rate for Payer: Multiplan Commercial |
$61,703.25
|
| Rate for Payer: Networks By Design Commercial |
$53,476.15
|
| Rate for Payer: Prime Health Services Commercial |
$69,930.35
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$49,362.60
|
| Rate for Payer: Riverside University Health MISP |
$32,908.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$49,362.60
|
| 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 Medi-Cal |
$69,930.35
|
| Rate for Payer: Vantage Medical Group Senior |
$69,930.35
|
|
|
HC TRANSCATH MITRAL VALVE ANNUL
|
Facility
IP
|
$82,271.00
|
|
|
Service Code
|
CPT 0544T
|
| Hospital Charge Code |
906820270
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$16,454.20 |
| Max. Negotiated Rate |
$120,000.00 |
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Central Health Plan Commercial |
$65,816.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,908.40
|
| Rate for Payer: Galaxy Health WC |
$69,930.35
|
| Rate for Payer: Global Benefits Group Commercial |
$49,362.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$74,043.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$54,874.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,454.20
|
| Rate for Payer: Multiplan Commercial |
$61,703.25
|
| Rate for Payer: Networks By Design Commercial |
$120,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$69,930.35
|
|
|
HC TRANSCATH MITRAL VALVE ANNUL
|
Facility
OP
|
$82,271.00
|
|
|
Service Code
|
CPT 0544T
|
| Hospital Charge Code |
906810544
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$683.14 |
| Max. Negotiated Rate |
$74,043.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$52,472.44
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$69,930.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45,249.05
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$45,249.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$49,362.60
|
| Rate for Payer: Blue Shield of California Commercial |
$951.13
|
| Rate for Payer: Blue Shield of California EPN |
$683.14
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Central Health Plan Commercial |
$65,816.80
|
| Rate for Payer: Cigna of CA PPO |
$60,880.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$69,930.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,908.40
|
| Rate for Payer: EPIC Health Plan Transplant |
$32,908.40
|
| Rate for Payer: Galaxy Health WC |
$69,930.35
|
| Rate for Payer: Global Benefits Group Commercial |
$49,362.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$74,043.90
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$61,703.25
|
| Rate for Payer: IEHP medi-cal |
$28,794.85
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$54,874.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,454.20
|
| Rate for Payer: Multiplan Commercial |
$61,703.25
|
| Rate for Payer: Networks By Design Commercial |
$53,476.15
|
| Rate for Payer: Prime Health Services Commercial |
$69,930.35
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$49,362.60
|
| Rate for Payer: Riverside University Health MISP |
$32,908.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$49,362.60
|
| 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 Medi-Cal |
$69,930.35
|
| Rate for Payer: Vantage Medical Group Senior |
$69,930.35
|
|
|
HC TRANSCATH MITRAL VALVE ANNUL
|
Facility
IP
|
$82,271.00
|
|
|
Service Code
|
CPT 0544T
|
| Hospital Charge Code |
906810544
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$16,454.20 |
| Max. Negotiated Rate |
$120,000.00 |
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Central Health Plan Commercial |
$65,816.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,908.40
|
| Rate for Payer: Galaxy Health WC |
$69,930.35
|
| Rate for Payer: Global Benefits Group Commercial |
$49,362.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$74,043.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$54,874.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,454.20
|
| Rate for Payer: Multiplan Commercial |
$61,703.25
|
| Rate for Payer: Networks By Design Commercial |
$120,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$69,930.35
|
|
|
HC TRANSCATH MITRAL VALVE REPAIR
|
Facility
OP
|
$82,271.00
|
|
|
Service Code
|
CPT 33418
|
| Hospital Charge Code |
906811487
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$683.14 |
| Max. Negotiated Rate |
$74,043.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$10,125.99
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$69,930.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45,249.05
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$45,249.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$49,362.60
|
| Rate for Payer: Blue Shield of California Commercial |
$951.13
|
| Rate for Payer: Blue Shield of California EPN |
$683.14
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Central Health Plan Commercial |
$65,816.80
|
| Rate for Payer: Cigna of CA PPO |
$60,880.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$69,930.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,908.40
|
| Rate for Payer: EPIC Health Plan Transplant |
$32,908.40
|
| Rate for Payer: Galaxy Health WC |
$69,930.35
|
| Rate for Payer: Global Benefits Group Commercial |
$49,362.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$74,043.90
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$61,703.25
|
| Rate for Payer: IEHP medi-cal |
$28,794.85
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$54,874.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,454.20
|
| Rate for Payer: Multiplan Commercial |
$61,703.25
|
| Rate for Payer: Networks By Design Commercial |
$53,476.15
|
| Rate for Payer: Prime Health Services Commercial |
$69,930.35
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$49,362.60
|
| Rate for Payer: Riverside University Health MISP |
$32,908.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$49,362.60
|
| 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 Medi-Cal |
$69,930.35
|
| Rate for Payer: Vantage Medical Group Senior |
$69,930.35
|
|
|
HC TRANSCATH MITRAL VALVE REPAIR
|
Facility
IP
|
$82,271.00
|
|
|
Service Code
|
CPT 33418
|
| Hospital Charge Code |
906820021
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$16,454.20 |
| Max. Negotiated Rate |
$120,000.00 |
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Central Health Plan Commercial |
$65,816.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,908.40
|
| Rate for Payer: Galaxy Health WC |
$69,930.35
|
| Rate for Payer: Global Benefits Group Commercial |
$49,362.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$74,043.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$54,874.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,454.20
|
| Rate for Payer: Multiplan Commercial |
$61,703.25
|
| Rate for Payer: Networks By Design Commercial |
$120,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$69,930.35
|
|
|
HC TRANSCATH MITRAL VALVE REPAIR
|
Facility
OP
|
$82,271.00
|
|
|
Service Code
|
CPT 33418
|
| Hospital Charge Code |
906820021
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$683.14 |
| Max. Negotiated Rate |
$74,043.90 |
| Rate for Payer: Aetna of CA HMO/PPO |
$10,125.99
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$69,930.35
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$45,249.05
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$45,249.05
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$49,362.60
|
| Rate for Payer: Blue Shield of California Commercial |
$951.13
|
| Rate for Payer: Blue Shield of California EPN |
$683.14
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Central Health Plan Commercial |
$65,816.80
|
| Rate for Payer: Cigna of CA PPO |
$60,880.54
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$69,930.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,908.40
|
| Rate for Payer: EPIC Health Plan Transplant |
$32,908.40
|
| Rate for Payer: Galaxy Health WC |
$69,930.35
|
| Rate for Payer: Global Benefits Group Commercial |
$49,362.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$74,043.90
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$61,703.25
|
| Rate for Payer: IEHP medi-cal |
$28,794.85
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$54,874.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,454.20
|
| Rate for Payer: Multiplan Commercial |
$61,703.25
|
| Rate for Payer: Networks By Design Commercial |
$53,476.15
|
| Rate for Payer: Prime Health Services Commercial |
$69,930.35
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$49,362.60
|
| Rate for Payer: Riverside University Health MISP |
$32,908.40
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$49,362.60
|
| 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 Medi-Cal |
$69,930.35
|
| Rate for Payer: Vantage Medical Group Senior |
$69,930.35
|
|
|
HC TRANSCATH MITRAL VALVE REPAIR
|
Facility
IP
|
$82,271.00
|
|
|
Service Code
|
CPT 33418
|
| Hospital Charge Code |
906811487
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$16,454.20 |
| Max. Negotiated Rate |
$120,000.00 |
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Cash Price |
$37,021.95
|
| Rate for Payer: Central Health Plan Commercial |
$65,816.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,908.40
|
| Rate for Payer: Galaxy Health WC |
$69,930.35
|
| Rate for Payer: Global Benefits Group Commercial |
$49,362.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$74,043.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$54,874.76
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$16,454.20
|
| Rate for Payer: Multiplan Commercial |
$61,703.25
|
| Rate for Payer: Networks By Design Commercial |
$120,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$69,930.35
|
|
|
HC TRANSCATH MITRAL VLVE IMPL/REP
|
Facility
OP
|
$78,157.00
|
|
|
Service Code
|
CPT 0483T
|
| Hospital Charge Code |
906820204
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$70,341.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,839.22
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$66,433.45
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$42,986.35
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$42,986.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$46,894.20
|
| 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 |
$35,170.65
|
| Rate for Payer: Cash Price |
$35,170.65
|
| Rate for Payer: Central Health Plan Commercial |
$62,525.60
|
| Rate for Payer: Cigna of CA PPO |
$57,836.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$66,433.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,262.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$31,262.80
|
| Rate for Payer: Galaxy Health WC |
$66,433.45
|
| Rate for Payer: Global Benefits Group Commercial |
$46,894.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$70,341.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$58,617.75
|
| Rate for Payer: IEHP medi-cal |
$27,354.95
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$52,130.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,631.40
|
| Rate for Payer: Multiplan Commercial |
$58,617.75
|
| Rate for Payer: Networks By Design Commercial |
$50,802.05
|
| Rate for Payer: Prime Health Services Commercial |
$66,433.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$46,894.20
|
| Rate for Payer: Riverside University Health MISP |
$31,262.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$46,894.20
|
| 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 Medi-Cal |
$66,433.45
|
| Rate for Payer: Vantage Medical Group Senior |
$66,433.45
|
|
|
HC TRANSCATH MITRAL VLVE IMPL/REP
|
Facility
IP
|
$78,157.00
|
|
|
Service Code
|
CPT 0483T
|
| Hospital Charge Code |
906820204
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$15,631.40 |
| Max. Negotiated Rate |
$120,000.00 |
| Rate for Payer: Cash Price |
$35,170.65
|
| Rate for Payer: Cash Price |
$35,170.65
|
| Rate for Payer: Central Health Plan Commercial |
$62,525.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,262.80
|
| Rate for Payer: Galaxy Health WC |
$66,433.45
|
| Rate for Payer: Global Benefits Group Commercial |
$46,894.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$70,341.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$52,130.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,631.40
|
| Rate for Payer: Multiplan Commercial |
$58,617.75
|
| Rate for Payer: Networks By Design Commercial |
$120,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$66,433.45
|
|
|
HC TRANSCATH MITRAL VLVE IMPL/REP
|
Facility
IP
|
$78,157.00
|
|
|
Service Code
|
CPT 0483T
|
| Hospital Charge Code |
906800483
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$15,631.40 |
| Max. Negotiated Rate |
$120,000.00 |
| Rate for Payer: Cash Price |
$35,170.65
|
| Rate for Payer: Cash Price |
$35,170.65
|
| Rate for Payer: Central Health Plan Commercial |
$62,525.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,262.80
|
| Rate for Payer: Galaxy Health WC |
$66,433.45
|
| Rate for Payer: Global Benefits Group Commercial |
$46,894.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$70,341.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$52,130.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,631.40
|
| Rate for Payer: Multiplan Commercial |
$58,617.75
|
| Rate for Payer: Networks By Design Commercial |
$120,000.00
|
| Rate for Payer: Prime Health Services Commercial |
$66,433.45
|
|
|
HC TRANSCATH MITRAL VLVE IMPL/REP
|
Facility
OP
|
$78,157.00
|
|
|
Service Code
|
CPT 0483T
|
| Hospital Charge Code |
906800483
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$70,341.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$7,839.22
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$66,433.45
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$42,986.35
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$42,986.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$11,461.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$13,979.00
|
| Rate for Payer: BCBS Transplant Transplant |
$46,894.20
|
| 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 |
$35,170.65
|
| Rate for Payer: Cash Price |
$35,170.65
|
| Rate for Payer: Central Health Plan Commercial |
$62,525.60
|
| Rate for Payer: Cigna of CA PPO |
$57,836.18
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$66,433.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$31,262.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$31,262.80
|
| Rate for Payer: Galaxy Health WC |
$66,433.45
|
| Rate for Payer: Global Benefits Group Commercial |
$46,894.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$70,341.30
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$58,617.75
|
| Rate for Payer: IEHP medi-cal |
$27,354.95
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$52,130.72
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$15,631.40
|
| Rate for Payer: Multiplan Commercial |
$58,617.75
|
| Rate for Payer: Networks By Design Commercial |
$50,802.05
|
| Rate for Payer: Prime Health Services Commercial |
$66,433.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$46,894.20
|
| Rate for Payer: Riverside University Health MISP |
$31,262.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$46,894.20
|
| 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 Medi-Cal |
$66,433.45
|
| Rate for Payer: Vantage Medical Group Senior |
$66,433.45
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC ADDL ART
|
Facility
OP
|
$14,043.00
|
|
|
Service Code
|
CPT 37237
|
| Hospital Charge Code |
906811479
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,808.60 |
| Max. Negotiated Rate |
$27,445.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$11,936.55
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7,723.65
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,723.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: BCBS Transplant Transplant |
$8,425.80
|
| Rate for Payer: Blue Shield of California Commercial |
$5,824.53
|
| Rate for Payer: Blue Shield of California EPN |
$4,183.44
|
| Rate for Payer: Cash Price |
$6,319.35
|
| Rate for Payer: Cash Price |
$6,319.35
|
| Rate for Payer: Central Health Plan Commercial |
$11,234.40
|
| Rate for Payer: Cigna of CA PPO |
$10,391.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,936.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,617.20
|
| Rate for Payer: EPIC Health Plan Transplant |
$5,617.20
|
| Rate for Payer: Galaxy Health WC |
$11,936.55
|
| Rate for Payer: Global Benefits Group Commercial |
$8,425.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,638.70
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$10,532.25
|
| Rate for Payer: IEHP medi-cal |
$4,915.05
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,366.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,808.60
|
| Rate for Payer: Multiplan Commercial |
$10,532.25
|
| Rate for Payer: Networks By Design Commercial |
$9,127.95
|
| Rate for Payer: Prime Health Services Commercial |
$11,936.55
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$8,425.80
|
| Rate for Payer: Riverside University Health MISP |
$5,617.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,425.80
|
| 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 Medi-Cal |
$11,936.55
|
| Rate for Payer: Vantage Medical Group Senior |
$11,936.55
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC ADDL ART
|
Facility
IP
|
$14,043.00
|
|
|
Service Code
|
CPT 37237
|
| Hospital Charge Code |
906811479
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,808.60 |
| Max. Negotiated Rate |
$12,638.70 |
| Rate for Payer: Cash Price |
$6,319.35
|
| Rate for Payer: Central Health Plan Commercial |
$11,234.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,617.20
|
| Rate for Payer: Galaxy Health WC |
$11,936.55
|
| Rate for Payer: Global Benefits Group Commercial |
$8,425.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,638.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,366.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,808.60
|
| Rate for Payer: Multiplan Commercial |
$10,532.25
|
| Rate for Payer: Networks By Design Commercial |
$9,127.95
|
| Rate for Payer: Prime Health Services Commercial |
$11,936.55
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC ADDL ART
|
Facility
OP
|
$14,043.00
|
|
|
Service Code
|
CPT 37237
|
| Hospital Charge Code |
906820010
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,808.60 |
| Max. Negotiated Rate |
$27,445.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$2,901.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$11,936.55
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7,723.65
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,723.65
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$4,736.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,779.00
|
| Rate for Payer: BCBS Transplant Transplant |
$8,425.80
|
| Rate for Payer: Blue Shield of California Commercial |
$5,824.53
|
| Rate for Payer: Blue Shield of California EPN |
$4,183.44
|
| Rate for Payer: Cash Price |
$6,319.35
|
| Rate for Payer: Cash Price |
$6,319.35
|
| Rate for Payer: Central Health Plan Commercial |
$11,234.40
|
| Rate for Payer: Cigna of CA PPO |
$10,391.82
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,936.55
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,617.20
|
| Rate for Payer: EPIC Health Plan Transplant |
$5,617.20
|
| Rate for Payer: Galaxy Health WC |
$11,936.55
|
| Rate for Payer: Global Benefits Group Commercial |
$8,425.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,638.70
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$10,532.25
|
| Rate for Payer: IEHP medi-cal |
$4,915.05
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,366.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,808.60
|
| Rate for Payer: Multiplan Commercial |
$10,532.25
|
| Rate for Payer: Networks By Design Commercial |
$9,127.95
|
| Rate for Payer: Prime Health Services Commercial |
$11,936.55
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$8,425.80
|
| Rate for Payer: Riverside University Health MISP |
$5,617.20
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,425.80
|
| 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 Medi-Cal |
$11,936.55
|
| Rate for Payer: Vantage Medical Group Senior |
$11,936.55
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC ADDL ART
|
Facility
IP
|
$14,043.00
|
|
|
Service Code
|
CPT 37237
|
| Hospital Charge Code |
906820010
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,808.60 |
| Max. Negotiated Rate |
$12,638.70 |
| Rate for Payer: Cash Price |
$6,319.35
|
| Rate for Payer: Central Health Plan Commercial |
$11,234.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,617.20
|
| Rate for Payer: Galaxy Health WC |
$11,936.55
|
| Rate for Payer: Global Benefits Group Commercial |
$8,425.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,638.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$9,366.68
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,808.60
|
| Rate for Payer: Multiplan Commercial |
$10,532.25
|
| Rate for Payer: Networks By Design Commercial |
$9,127.95
|
| Rate for Payer: Prime Health Services Commercial |
$11,936.55
|
|
