|
HC TRANSCATH PLCMT INT STNT OPENPERC ADDL VEIN
|
Facility
IP
|
$13,342.00
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
906811481
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,668.40 |
| Max. Negotiated Rate |
$12,007.80 |
| Rate for Payer: Cash Price |
$6,003.90
|
| Rate for Payer: Central Health Plan Commercial |
$10,673.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,336.80
|
| Rate for Payer: Galaxy Health WC |
$11,340.70
|
| Rate for Payer: Global Benefits Group Commercial |
$8,005.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,007.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,899.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,668.40
|
| Rate for Payer: Multiplan Commercial |
$10,006.50
|
| Rate for Payer: Networks By Design Commercial |
$8,672.30
|
| Rate for Payer: Prime Health Services Commercial |
$11,340.70
|
|
|
HC TRANSCATH PLCMT INT STNT OPENPERC ADDL VEIN
|
Facility
OP
|
$13,342.00
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
906820012
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,668.40 |
| 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 |
$11,340.70
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7,338.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,338.10
|
| 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 |
$8,005.20
|
| 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 |
$6,003.90
|
| Rate for Payer: Cash Price |
$6,003.90
|
| Rate for Payer: Central Health Plan Commercial |
$10,673.60
|
| Rate for Payer: Cigna of CA PPO |
$9,873.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,340.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,336.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$5,336.80
|
| Rate for Payer: Galaxy Health WC |
$11,340.70
|
| Rate for Payer: Global Benefits Group Commercial |
$8,005.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,007.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$10,006.50
|
| Rate for Payer: IEHP medi-cal |
$4,669.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,899.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,668.40
|
| Rate for Payer: Multiplan Commercial |
$10,006.50
|
| Rate for Payer: Networks By Design Commercial |
$8,672.30
|
| Rate for Payer: Prime Health Services Commercial |
$11,340.70
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$8,005.20
|
| Rate for Payer: Riverside University Health MISP |
$5,336.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,005.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$16,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,445.00
|
| Rate for Payer: United Healthcare HMO Rider |
$17,214.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,742.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,340.70
|
| Rate for Payer: Vantage Medical Group Senior |
$11,340.70
|
|
|
HC TRANSCATH PLCMT INT STNT OPENPERC ADDL VEIN
|
Facility
OP
|
$13,342.00
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
906811481
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,668.40 |
| 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 |
$11,340.70
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7,338.10
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,338.10
|
| 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 |
$8,005.20
|
| 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 |
$6,003.90
|
| Rate for Payer: Cash Price |
$6,003.90
|
| Rate for Payer: Central Health Plan Commercial |
$10,673.60
|
| Rate for Payer: Cigna of CA PPO |
$9,873.08
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$11,340.70
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,336.80
|
| Rate for Payer: EPIC Health Plan Transplant |
$5,336.80
|
| Rate for Payer: Galaxy Health WC |
$11,340.70
|
| Rate for Payer: Global Benefits Group Commercial |
$8,005.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,007.80
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$10,006.50
|
| Rate for Payer: IEHP medi-cal |
$4,669.70
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,899.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,668.40
|
| Rate for Payer: Multiplan Commercial |
$10,006.50
|
| Rate for Payer: Networks By Design Commercial |
$8,672.30
|
| Rate for Payer: Prime Health Services Commercial |
$11,340.70
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$8,005.20
|
| Rate for Payer: Riverside University Health MISP |
$5,336.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$8,005.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$16,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,445.00
|
| Rate for Payer: United Healthcare HMO Rider |
$17,214.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,742.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$11,340.70
|
| Rate for Payer: Vantage Medical Group Senior |
$11,340.70
|
|
|
HC TRANSCATH PLCMT INT STNT OPENPERC ADDL VEIN
|
Facility
IP
|
$13,342.00
|
|
|
Service Code
|
CPT 37239
|
| Hospital Charge Code |
906820012
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,668.40 |
| Max. Negotiated Rate |
$12,007.80 |
| Rate for Payer: Cash Price |
$6,003.90
|
| Rate for Payer: Central Health Plan Commercial |
$10,673.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,336.80
|
| Rate for Payer: Galaxy Health WC |
$11,340.70
|
| Rate for Payer: Global Benefits Group Commercial |
$8,005.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$12,007.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,899.11
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,668.40
|
| Rate for Payer: Multiplan Commercial |
$10,006.50
|
| Rate for Payer: Networks By Design Commercial |
$8,672.30
|
| Rate for Payer: Prime Health Services Commercial |
$11,340.70
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT ART
|
Facility
OP
|
$30,489.00
|
|
|
Service Code
|
CPT 37236
|
| Hospital Charge Code |
906811478
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,183.44 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,745.22
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,745.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,830.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,791.68
|
| Rate for Payer: BCBS Transplant Transplant |
$18,293.40
|
| 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: Caremore Medicare Advantage |
$13,745.22
|
| Rate for Payer: Cash Price |
$13,720.05
|
| Rate for Payer: Cash Price |
$13,720.05
|
| Rate for Payer: Central Health Plan Commercial |
$24,391.20
|
| Rate for Payer: Cigna of CA PPO |
$22,561.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,617.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,556.05
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,745.22
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,745.22
|
| Rate for Payer: Galaxy Health WC |
$25,915.65
|
| Rate for Payer: Global Benefits Group Commercial |
$18,293.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$27,440.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$22,866.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$22,542.16
|
| Rate for Payer: IEHP medi-cal |
$22,679.61
|
| Rate for Payer: IEHP Medicare Advantage |
$13,745.22
|
| Rate for Payer: Innovage PACE Commercial |
$20,617.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20,336.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,745.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,097.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,418.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,418.59
|
| Rate for Payer: Multiplan Commercial |
$22,866.75
|
| Rate for Payer: Multiplan WC |
$18,791.68
|
| Rate for Payer: Networks By Design Commercial |
$19,817.85
|
| Rate for Payer: Preferred Health Network WC |
$19,175.18
|
| Rate for Payer: Prime Health Services Commercial |
$25,915.65
|
| Rate for Payer: Prime Health Services Medicare |
$14,569.93
|
| Rate for Payer: Prime Health Services WC |
$18,599.92
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$18,293.40
|
| Rate for Payer: Riverside University Health MISP |
$15,119.74
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$18,293.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: Vantage Medical Group Senior |
$13,745.22
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT ART
|
Facility
IP
|
$30,489.00
|
|
|
Service Code
|
CPT 37236
|
| Hospital Charge Code |
906820009
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,097.80 |
| Max. Negotiated Rate |
$27,440.10 |
| Rate for Payer: Cash Price |
$13,720.05
|
| Rate for Payer: Central Health Plan Commercial |
$24,391.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,195.60
|
| Rate for Payer: Galaxy Health WC |
$25,915.65
|
| Rate for Payer: Global Benefits Group Commercial |
$18,293.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$27,440.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20,336.16
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,097.80
|
| Rate for Payer: Multiplan Commercial |
$22,866.75
|
| Rate for Payer: Networks By Design Commercial |
$19,817.85
|
| Rate for Payer: Prime Health Services Commercial |
$25,915.65
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT ART
|
Facility
OP
|
$30,489.00
|
|
|
Service Code
|
CPT 37236
|
| Hospital Charge Code |
906820009
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,183.44 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,745.22
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,745.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,830.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,791.68
|
| Rate for Payer: BCBS Transplant Transplant |
$18,293.40
|
| 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: Caremore Medicare Advantage |
$13,745.22
|
| Rate for Payer: Cash Price |
$13,720.05
|
| Rate for Payer: Cash Price |
$13,720.05
|
| Rate for Payer: Central Health Plan Commercial |
$24,391.20
|
| Rate for Payer: Cigna of CA PPO |
$22,561.86
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,617.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,556.05
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,745.22
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,745.22
|
| Rate for Payer: Galaxy Health WC |
$25,915.65
|
| Rate for Payer: Global Benefits Group Commercial |
$18,293.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$27,440.10
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$22,866.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$22,542.16
|
| Rate for Payer: IEHP medi-cal |
$22,679.61
|
| Rate for Payer: IEHP Medicare Advantage |
$13,745.22
|
| Rate for Payer: Innovage PACE Commercial |
$20,617.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20,336.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,745.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,097.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,418.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,418.59
|
| Rate for Payer: Multiplan Commercial |
$22,866.75
|
| Rate for Payer: Multiplan WC |
$18,791.68
|
| Rate for Payer: Networks By Design Commercial |
$19,817.85
|
| Rate for Payer: Preferred Health Network WC |
$19,175.18
|
| Rate for Payer: Prime Health Services Commercial |
$25,915.65
|
| Rate for Payer: Prime Health Services Medicare |
$14,569.93
|
| Rate for Payer: Prime Health Services WC |
$18,599.92
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$18,293.40
|
| Rate for Payer: Riverside University Health MISP |
$15,119.74
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$18,293.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: Vantage Medical Group Senior |
$13,745.22
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT ART
|
Facility
IP
|
$30,489.00
|
|
|
Service Code
|
CPT 37236
|
| Hospital Charge Code |
906811478
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$6,097.80 |
| Max. Negotiated Rate |
$27,440.10 |
| Rate for Payer: Cash Price |
$13,720.05
|
| Rate for Payer: Central Health Plan Commercial |
$24,391.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$12,195.60
|
| Rate for Payer: Galaxy Health WC |
$25,915.65
|
| Rate for Payer: Global Benefits Group Commercial |
$18,293.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$27,440.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$20,336.16
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$6,097.80
|
| Rate for Payer: Multiplan Commercial |
$22,866.75
|
| Rate for Payer: Networks By Design Commercial |
$19,817.85
|
| Rate for Payer: Prime Health Services Commercial |
$25,915.65
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT VEIN
|
Facility
OP
|
$27,586.00
|
|
|
Service Code
|
CPT 37238
|
| Hospital Charge Code |
906820011
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,183.44 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,745.22
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,745.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,830.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,791.68
|
| Rate for Payer: BCBS Transplant Transplant |
$16,551.60
|
| 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: Caremore Medicare Advantage |
$13,745.22
|
| Rate for Payer: Cash Price |
$12,413.70
|
| Rate for Payer: Cash Price |
$12,413.70
|
| Rate for Payer: Central Health Plan Commercial |
$22,068.80
|
| Rate for Payer: Cigna of CA PPO |
$20,413.64
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,617.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,556.05
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,745.22
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,745.22
|
| Rate for Payer: Galaxy Health WC |
$23,448.10
|
| Rate for Payer: Global Benefits Group Commercial |
$16,551.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$24,827.40
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$20,689.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$22,542.16
|
| Rate for Payer: IEHP medi-cal |
$22,679.61
|
| Rate for Payer: IEHP Medicare Advantage |
$13,745.22
|
| Rate for Payer: Innovage PACE Commercial |
$20,617.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,399.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,745.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,517.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,418.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,418.59
|
| Rate for Payer: Multiplan Commercial |
$20,689.50
|
| Rate for Payer: Multiplan WC |
$18,791.68
|
| Rate for Payer: Networks By Design Commercial |
$17,930.90
|
| Rate for Payer: Preferred Health Network WC |
$19,175.18
|
| Rate for Payer: Prime Health Services Commercial |
$23,448.10
|
| Rate for Payer: Prime Health Services Medicare |
$14,569.93
|
| Rate for Payer: Prime Health Services WC |
$18,599.92
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$16,551.60
|
| Rate for Payer: Riverside University Health MISP |
$15,119.74
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$16,551.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: Vantage Medical Group Senior |
$13,745.22
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT VEIN
|
Facility
IP
|
$27,586.00
|
|
|
Service Code
|
CPT 37238
|
| Hospital Charge Code |
906820011
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,517.20 |
| Max. Negotiated Rate |
$24,827.40 |
| Rate for Payer: Cash Price |
$12,413.70
|
| Rate for Payer: Central Health Plan Commercial |
$22,068.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,034.40
|
| Rate for Payer: Galaxy Health WC |
$23,448.10
|
| Rate for Payer: Global Benefits Group Commercial |
$16,551.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$24,827.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,399.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,517.20
|
| Rate for Payer: Multiplan Commercial |
$20,689.50
|
| Rate for Payer: Networks By Design Commercial |
$17,930.90
|
| Rate for Payer: Prime Health Services Commercial |
$23,448.10
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT VEIN
|
Facility
OP
|
$27,586.00
|
|
|
Service Code
|
CPT 37238
|
| Hospital Charge Code |
906811480
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,183.44 |
| Max. Negotiated Rate |
$48,045.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$13,745.22
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$13,745.22
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,830.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$18,791.68
|
| Rate for Payer: BCBS Transplant Transplant |
$16,551.60
|
| 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: Caremore Medicare Advantage |
$13,745.22
|
| Rate for Payer: Cash Price |
$12,413.70
|
| Rate for Payer: Cash Price |
$12,413.70
|
| Rate for Payer: Central Health Plan Commercial |
$22,068.80
|
| Rate for Payer: Cigna of CA PPO |
$20,413.64
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$20,617.83
|
| Rate for Payer: EPIC Health Plan Commercial |
$18,556.05
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$13,745.22
|
| Rate for Payer: EPIC Health Plan Transplant |
$13,745.22
|
| Rate for Payer: Galaxy Health WC |
$23,448.10
|
| Rate for Payer: Global Benefits Group Commercial |
$16,551.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$24,827.40
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$20,689.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$22,542.16
|
| Rate for Payer: IEHP medi-cal |
$22,679.61
|
| Rate for Payer: IEHP Medicare Advantage |
$13,745.22
|
| Rate for Payer: Innovage PACE Commercial |
$20,617.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,399.86
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,745.22
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,517.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$18,418.59
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$18,418.59
|
| Rate for Payer: Multiplan Commercial |
$20,689.50
|
| Rate for Payer: Multiplan WC |
$18,791.68
|
| Rate for Payer: Networks By Design Commercial |
$17,930.90
|
| Rate for Payer: Preferred Health Network WC |
$19,175.18
|
| Rate for Payer: Prime Health Services Commercial |
$23,448.10
|
| Rate for Payer: Prime Health Services Medicare |
$14,569.93
|
| Rate for Payer: Prime Health Services WC |
$18,599.92
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$16,551.60
|
| Rate for Payer: Riverside University Health MISP |
$15,119.74
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$16,551.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$29,673.00
|
| Rate for Payer: United Healthcare All Other HMO |
$48,045.00
|
| Rate for Payer: United Healthcare HMO Rider |
$31,101.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$28,895.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$20,617.83
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,119.74
|
| Rate for Payer: Vantage Medical Group Senior |
$13,745.22
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT VEIN
|
Facility
IP
|
$27,586.00
|
|
|
Service Code
|
CPT 37238
|
| Hospital Charge Code |
906811480
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,517.20 |
| Max. Negotiated Rate |
$24,827.40 |
| Rate for Payer: Cash Price |
$12,413.70
|
| Rate for Payer: Central Health Plan Commercial |
$22,068.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,034.40
|
| Rate for Payer: Galaxy Health WC |
$23,448.10
|
| Rate for Payer: Global Benefits Group Commercial |
$16,551.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$24,827.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$18,399.86
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,517.20
|
| Rate for Payer: Multiplan Commercial |
$20,689.50
|
| Rate for Payer: Networks By Design Commercial |
$17,930.90
|
| Rate for Payer: Prime Health Services Commercial |
$23,448.10
|
|
|
HC TRANSCATH PULM VALVE IMPLANT
|
Facility
OP
|
$78,157.00
|
|
|
Service Code
|
CPT 33477
|
| Hospital Charge Code |
906820256
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$683.14 |
| Max. Negotiated Rate |
$70,341.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,848.53
|
| 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 |
$951.13
|
| Rate for Payer: Blue Shield of California EPN |
$683.14
|
| 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 PULM VALVE IMPLANT
|
Facility
IP
|
$78,157.00
|
|
|
Service Code
|
CPT 33477
|
| Hospital Charge Code |
906811427
|
|
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 PULM VALVE IMPLANT
|
Facility
OP
|
$78,157.00
|
|
|
Service Code
|
CPT 33477
|
| Hospital Charge Code |
906811427
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$683.14 |
| Max. Negotiated Rate |
$70,341.30 |
| Rate for Payer: Aetna of CA HMO/PPO |
$49,848.53
|
| 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 |
$951.13
|
| Rate for Payer: Blue Shield of California EPN |
$683.14
|
| 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 PULM VALVE IMPLANT
|
Facility
IP
|
$78,157.00
|
|
|
Service Code
|
CPT 33477
|
| Hospital Charge Code |
906820256
|
|
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 RENAL DENERVATION
|
Facility
IP
|
$12,334.00
|
|
|
Service Code
|
CPT 0338T
|
| Hospital Charge Code |
906820002
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,466.80 |
| Max. Negotiated Rate |
$11,100.60 |
| Rate for Payer: Cash Price |
$5,550.30
|
| Rate for Payer: Central Health Plan Commercial |
$9,867.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,933.60
|
| Rate for Payer: Galaxy Health WC |
$10,483.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,400.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,100.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,226.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,466.80
|
| Rate for Payer: Multiplan Commercial |
$9,250.50
|
| Rate for Payer: Networks By Design Commercial |
$8,017.10
|
| Rate for Payer: Prime Health Services Commercial |
$10,483.90
|
|
|
HC TRANSCATH RENAL DENERVATION
|
Facility
OP
|
$12,334.00
|
|
|
Service Code
|
CPT 0338T
|
| Hospital Charge Code |
906811473
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,466.80 |
| Max. Negotiated Rate |
$11,783.23 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,141.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$5,610.67
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10,712.02
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7,855.48
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,141.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,084.00
|
| Rate for Payer: BCBS Transplant Transplant |
$7,400.40
|
| Rate for Payer: Blue Shield of California Commercial |
$7,622.41
|
| Rate for Payer: Blue Shield of California EPN |
$5,994.32
|
| Rate for Payer: Caremore Medicare Advantage |
$7,141.35
|
| Rate for Payer: Cash Price |
$5,550.30
|
| Rate for Payer: Cash Price |
$5,550.30
|
| Rate for Payer: Central Health Plan Commercial |
$9,867.20
|
| Rate for Payer: Cigna of CA HMO |
$7,893.76
|
| Rate for Payer: Cigna of CA PPO |
$9,127.16
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,712.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,640.82
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$7,141.35
|
| Rate for Payer: EPIC Health Plan Transplant |
$7,141.35
|
| Rate for Payer: Galaxy Health WC |
$10,483.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,400.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,100.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$9,250.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,711.81
|
| Rate for Payer: IEHP medi-cal |
$11,783.23
|
| Rate for Payer: IEHP Medicare Advantage |
$7,141.35
|
| Rate for Payer: Innovage PACE Commercial |
$10,712.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,226.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,141.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,466.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,569.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,569.41
|
| Rate for Payer: Multiplan Commercial |
$9,250.50
|
| Rate for Payer: Networks By Design Commercial |
$8,017.10
|
| Rate for Payer: Prime Health Services Commercial |
$10,483.90
|
| Rate for Payer: Prime Health Services Medicare |
$7,569.83
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$7,400.40
|
| Rate for Payer: Riverside University Health MISP |
$7,855.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,400.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7,400.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,167.00
|
| Rate for Payer: United Healthcare All Other HMO |
$6,167.00
|
| Rate for Payer: United Healthcare HMO Rider |
$6,167.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,167.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,712.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,855.48
|
| Rate for Payer: Vantage Medical Group Senior |
$7,141.35
|
|
|
HC TRANSCATH RENAL DENERVATION
|
Facility
OP
|
$12,334.00
|
|
|
Service Code
|
CPT 0338T
|
| Hospital Charge Code |
906820002
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,466.80 |
| Max. Negotiated Rate |
$11,783.23 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,141.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$5,610.67
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10,712.02
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7,855.48
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,141.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,084.00
|
| Rate for Payer: BCBS Transplant Transplant |
$7,400.40
|
| Rate for Payer: Blue Shield of California Commercial |
$7,622.41
|
| Rate for Payer: Blue Shield of California EPN |
$5,994.32
|
| Rate for Payer: Caremore Medicare Advantage |
$7,141.35
|
| Rate for Payer: Cash Price |
$5,550.30
|
| Rate for Payer: Cash Price |
$5,550.30
|
| Rate for Payer: Central Health Plan Commercial |
$9,867.20
|
| Rate for Payer: Cigna of CA HMO |
$7,893.76
|
| Rate for Payer: Cigna of CA PPO |
$9,127.16
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,712.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,640.82
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$7,141.35
|
| Rate for Payer: EPIC Health Plan Transplant |
$7,141.35
|
| Rate for Payer: Galaxy Health WC |
$10,483.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,400.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,100.60
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$9,250.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,711.81
|
| Rate for Payer: IEHP medi-cal |
$11,783.23
|
| Rate for Payer: IEHP Medicare Advantage |
$7,141.35
|
| Rate for Payer: Innovage PACE Commercial |
$10,712.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,226.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,141.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,466.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,569.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,569.41
|
| Rate for Payer: Multiplan Commercial |
$9,250.50
|
| Rate for Payer: Networks By Design Commercial |
$8,017.10
|
| Rate for Payer: Prime Health Services Commercial |
$10,483.90
|
| Rate for Payer: Prime Health Services Medicare |
$7,569.83
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$7,400.40
|
| Rate for Payer: Riverside University Health MISP |
$7,855.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$7,400.40
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$7,400.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$6,167.00
|
| Rate for Payer: United Healthcare All Other HMO |
$6,167.00
|
| Rate for Payer: United Healthcare HMO Rider |
$6,167.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$6,167.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,712.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,855.48
|
| Rate for Payer: Vantage Medical Group Senior |
$7,141.35
|
|
|
HC TRANSCATH RENAL DENERVATION
|
Facility
IP
|
$12,334.00
|
|
|
Service Code
|
CPT 0338T
|
| Hospital Charge Code |
906811473
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$2,466.80 |
| Max. Negotiated Rate |
$11,100.60 |
| Rate for Payer: Cash Price |
$5,550.30
|
| Rate for Payer: Central Health Plan Commercial |
$9,867.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$4,933.60
|
| Rate for Payer: Galaxy Health WC |
$10,483.90
|
| Rate for Payer: Global Benefits Group Commercial |
$7,400.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$11,100.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$8,226.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$2,466.80
|
| Rate for Payer: Multiplan Commercial |
$9,250.50
|
| Rate for Payer: Networks By Design Commercial |
$8,017.10
|
| Rate for Payer: Prime Health Services Commercial |
$10,483.90
|
|
|
HC TRANSCATH RENAL DENERVATION BILATERAL
|
Facility
OP
|
$18,501.00
|
|
|
Service Code
|
CPT 0339T
|
| Hospital Charge Code |
906811474
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$3,700.20 |
| Max. Negotiated Rate |
$16,650.90 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,141.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,740.62
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10,712.02
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7,855.48
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,141.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,084.00
|
| Rate for Payer: BCBS Transplant Transplant |
$11,100.60
|
| Rate for Payer: Blue Shield of California Commercial |
$11,433.62
|
| Rate for Payer: Blue Shield of California EPN |
$8,991.49
|
| Rate for Payer: Caremore Medicare Advantage |
$7,141.35
|
| Rate for Payer: Cash Price |
$8,325.45
|
| Rate for Payer: Cash Price |
$8,325.45
|
| Rate for Payer: Central Health Plan Commercial |
$14,800.80
|
| Rate for Payer: Cigna of CA HMO |
$11,840.64
|
| Rate for Payer: Cigna of CA PPO |
$13,690.74
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,712.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,640.82
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$7,141.35
|
| Rate for Payer: EPIC Health Plan Transplant |
$7,141.35
|
| Rate for Payer: Galaxy Health WC |
$15,725.85
|
| Rate for Payer: Global Benefits Group Commercial |
$11,100.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$16,650.90
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$13,875.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,711.81
|
| Rate for Payer: IEHP medi-cal |
$11,783.23
|
| Rate for Payer: IEHP Medicare Advantage |
$7,141.35
|
| Rate for Payer: Innovage PACE Commercial |
$10,712.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$12,340.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,141.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,700.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,569.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,569.41
|
| Rate for Payer: Multiplan Commercial |
$13,875.75
|
| Rate for Payer: Networks By Design Commercial |
$12,025.65
|
| Rate for Payer: Prime Health Services Commercial |
$15,725.85
|
| Rate for Payer: Prime Health Services Medicare |
$7,569.83
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$11,100.60
|
| Rate for Payer: Riverside University Health MISP |
$7,855.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11,100.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$11,100.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,250.50
|
| Rate for Payer: United Healthcare All Other HMO |
$9,250.50
|
| Rate for Payer: United Healthcare HMO Rider |
$9,250.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,250.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,712.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,855.48
|
| Rate for Payer: Vantage Medical Group Senior |
$7,141.35
|
|
|
HC TRANSCATH RENAL DENERVATION BILATERAL
|
Facility
IP
|
$18,501.00
|
|
|
Service Code
|
CPT 0339T
|
| Hospital Charge Code |
906820003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$3,700.20 |
| Max. Negotiated Rate |
$16,650.90 |
| Rate for Payer: Cash Price |
$8,325.45
|
| Rate for Payer: Central Health Plan Commercial |
$14,800.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,400.40
|
| Rate for Payer: Galaxy Health WC |
$15,725.85
|
| Rate for Payer: Global Benefits Group Commercial |
$11,100.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$16,650.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$12,340.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,700.20
|
| Rate for Payer: Multiplan Commercial |
$13,875.75
|
| Rate for Payer: Networks By Design Commercial |
$12,025.65
|
| Rate for Payer: Prime Health Services Commercial |
$15,725.85
|
|
|
HC TRANSCATH RENAL DENERVATION BILATERAL
|
Facility
OP
|
$18,501.00
|
|
|
Service Code
|
CPT 0339T
|
| Hospital Charge Code |
906820003
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$3,700.20 |
| Max. Negotiated Rate |
$16,650.90 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,141.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$6,740.62
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$10,712.02
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$7,855.48
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$7,141.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$5,806.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,084.00
|
| Rate for Payer: BCBS Transplant Transplant |
$11,100.60
|
| Rate for Payer: Blue Shield of California Commercial |
$11,433.62
|
| Rate for Payer: Blue Shield of California EPN |
$8,991.49
|
| Rate for Payer: Caremore Medicare Advantage |
$7,141.35
|
| Rate for Payer: Cash Price |
$8,325.45
|
| Rate for Payer: Cash Price |
$8,325.45
|
| Rate for Payer: Central Health Plan Commercial |
$14,800.80
|
| Rate for Payer: Cigna of CA HMO |
$11,840.64
|
| Rate for Payer: Cigna of CA PPO |
$13,690.74
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,712.02
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,640.82
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$7,141.35
|
| Rate for Payer: EPIC Health Plan Transplant |
$7,141.35
|
| Rate for Payer: Galaxy Health WC |
$15,725.85
|
| Rate for Payer: Global Benefits Group Commercial |
$11,100.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$16,650.90
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$13,875.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,711.81
|
| Rate for Payer: IEHP medi-cal |
$11,783.23
|
| Rate for Payer: IEHP Medicare Advantage |
$7,141.35
|
| Rate for Payer: Innovage PACE Commercial |
$10,712.02
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$12,340.17
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,141.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,700.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,569.41
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,569.41
|
| Rate for Payer: Multiplan Commercial |
$13,875.75
|
| Rate for Payer: Networks By Design Commercial |
$12,025.65
|
| Rate for Payer: Prime Health Services Commercial |
$15,725.85
|
| Rate for Payer: Prime Health Services Medicare |
$7,569.83
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$11,100.60
|
| Rate for Payer: Riverside University Health MISP |
$7,855.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$11,100.60
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$11,100.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$9,250.50
|
| Rate for Payer: United Healthcare All Other HMO |
$9,250.50
|
| Rate for Payer: United Healthcare HMO Rider |
$9,250.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$9,250.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,712.02
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,855.48
|
| Rate for Payer: Vantage Medical Group Senior |
$7,141.35
|
|
|
HC TRANSCATH RENAL DENERVATION BILATERAL
|
Facility
IP
|
$18,501.00
|
|
|
Service Code
|
CPT 0339T
|
| Hospital Charge Code |
906811474
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$3,700.20 |
| Max. Negotiated Rate |
$16,650.90 |
| Rate for Payer: Cash Price |
$8,325.45
|
| Rate for Payer: Central Health Plan Commercial |
$14,800.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$7,400.40
|
| Rate for Payer: Galaxy Health WC |
$15,725.85
|
| Rate for Payer: Global Benefits Group Commercial |
$11,100.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$16,650.90
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$12,340.17
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,700.20
|
| Rate for Payer: Multiplan Commercial |
$13,875.75
|
| Rate for Payer: Networks By Design Commercial |
$12,025.65
|
| Rate for Payer: Prime Health Services Commercial |
$15,725.85
|
|
|
HC TRANSCATH RMVL DC LEADLESS PMKR RA PM COMPNT
|
Facility
IP
|
$8,854.00
|
|
|
Service Code
|
CPT 0799T
|
| Hospital Charge Code |
906819781
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,770.80 |
| Max. Negotiated Rate |
$7,968.60 |
| Rate for Payer: Cash Price |
$3,984.30
|
| Rate for Payer: Central Health Plan Commercial |
$7,083.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$3,541.60
|
| Rate for Payer: Galaxy Health WC |
$7,525.90
|
| Rate for Payer: Global Benefits Group Commercial |
$5,312.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$7,968.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$5,905.62
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,770.80
|
| Rate for Payer: Multiplan Commercial |
$6,640.50
|
| Rate for Payer: Networks By Design Commercial |
$5,755.10
|
| Rate for Payer: Prime Health Services Commercial |
$7,525.90
|
|
