|
HC TRLUML BLLN ANGIO INIT ART
|
Facility
OP
|
$29,780.00
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
906820284
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$27,445.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,141.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| 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 |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,830.00
|
| Rate for Payer: BCBS Transplant Transplant |
$17,868.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$7,141.35
|
| Rate for Payer: Cash Price |
$13,401.00
|
| Rate for Payer: Cash Price |
$13,401.00
|
| Rate for Payer: Central Health Plan Commercial |
$23,824.00
|
| Rate for Payer: Cigna of CA PPO |
$22,037.20
|
| 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 |
$25,313.00
|
| Rate for Payer: Global Benefits Group Commercial |
$17,868.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,802.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$22,335.00
|
| 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 |
$19,863.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,141.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,956.00
|
| 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 |
$22,335.00
|
| Rate for Payer: Networks By Design Commercial |
$19,357.00
|
| Rate for Payer: Prime Health Services Commercial |
$25,313.00
|
| Rate for Payer: Prime Health Services Medicare |
$7,569.83
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$17,868.00
|
| Rate for Payer: Riverside University Health MISP |
$7,855.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$17,868.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$16,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,445.00
|
| Rate for Payer: United Healthcare HMO Rider |
$17,214.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,742.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$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 TRLUML BLLN ANGIO INIT ART
|
Facility
IP
|
$29,780.00
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
906820284
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,956.00 |
| Max. Negotiated Rate |
$26,802.00 |
| Rate for Payer: Cash Price |
$13,401.00
|
| Rate for Payer: Central Health Plan Commercial |
$23,824.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$11,912.00
|
| Rate for Payer: Galaxy Health WC |
$25,313.00
|
| Rate for Payer: Global Benefits Group Commercial |
$17,868.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,802.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$19,863.26
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,956.00
|
| Rate for Payer: Multiplan Commercial |
$22,335.00
|
| Rate for Payer: Networks By Design Commercial |
$19,357.00
|
| Rate for Payer: Prime Health Services Commercial |
$25,313.00
|
|
|
HC TRLUML BLLN ANGIO INIT ART
|
Facility
OP
|
$29,780.00
|
|
|
Service Code
|
CPT 37246
|
| Hospital Charge Code |
909037246
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$27,445.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,141.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| 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 |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,830.00
|
| Rate for Payer: BCBS Transplant Transplant |
$17,868.00
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$7,141.35
|
| Rate for Payer: Cash Price |
$13,401.00
|
| Rate for Payer: Cash Price |
$13,401.00
|
| Rate for Payer: Central Health Plan Commercial |
$23,824.00
|
| Rate for Payer: Cigna of CA PPO |
$22,037.20
|
| 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 |
$25,313.00
|
| Rate for Payer: Global Benefits Group Commercial |
$17,868.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$26,802.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$22,335.00
|
| 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 |
$19,863.26
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,141.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,956.00
|
| 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 |
$22,335.00
|
| Rate for Payer: Networks By Design Commercial |
$19,357.00
|
| Rate for Payer: Prime Health Services Commercial |
$25,313.00
|
| Rate for Payer: Prime Health Services Medicare |
$7,569.83
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$17,868.00
|
| Rate for Payer: Riverside University Health MISP |
$7,855.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$17,868.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$16,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,445.00
|
| Rate for Payer: United Healthcare HMO Rider |
$17,214.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,742.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$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 TRLUML BLLN ANGIO INIT VEIN
|
Facility
OP
|
$25,518.00
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
906820286
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$27,445.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,141.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| 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 |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,830.00
|
| Rate for Payer: BCBS Transplant Transplant |
$15,310.80
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$7,141.35
|
| Rate for Payer: Cash Price |
$11,483.10
|
| Rate for Payer: Cash Price |
$11,483.10
|
| Rate for Payer: Central Health Plan Commercial |
$20,414.40
|
| Rate for Payer: Cigna of CA PPO |
$18,883.32
|
| 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 |
$21,690.30
|
| Rate for Payer: Global Benefits Group Commercial |
$15,310.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,966.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$19,138.50
|
| 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 |
$17,020.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,141.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,103.60
|
| 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 |
$19,138.50
|
| Rate for Payer: Networks By Design Commercial |
$16,586.70
|
| Rate for Payer: Prime Health Services Commercial |
$21,690.30
|
| Rate for Payer: Prime Health Services Medicare |
$7,569.83
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$15,310.80
|
| Rate for Payer: Riverside University Health MISP |
$7,855.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,310.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$16,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,445.00
|
| Rate for Payer: United Healthcare HMO Rider |
$17,214.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,742.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$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 TRLUML BLLN ANGIO INIT VEIN
|
Facility
IP
|
$25,518.00
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
906820286
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,103.60 |
| Max. Negotiated Rate |
$22,966.20 |
| Rate for Payer: Cash Price |
$11,483.10
|
| Rate for Payer: Central Health Plan Commercial |
$20,414.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,207.20
|
| Rate for Payer: Galaxy Health WC |
$21,690.30
|
| Rate for Payer: Global Benefits Group Commercial |
$15,310.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,966.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17,020.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,103.60
|
| Rate for Payer: Multiplan Commercial |
$19,138.50
|
| Rate for Payer: Networks By Design Commercial |
$16,586.70
|
| Rate for Payer: Prime Health Services Commercial |
$21,690.30
|
|
|
HC TRLUML BLLN ANGIO INIT VEIN
|
Facility
IP
|
$25,518.00
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
909037248
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$5,103.60 |
| Max. Negotiated Rate |
$22,966.20 |
| Rate for Payer: Cash Price |
$11,483.10
|
| Rate for Payer: Central Health Plan Commercial |
$20,414.40
|
| Rate for Payer: EPIC Health Plan Commercial |
$10,207.20
|
| Rate for Payer: Galaxy Health WC |
$21,690.30
|
| Rate for Payer: Global Benefits Group Commercial |
$15,310.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,966.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$17,020.51
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,103.60
|
| Rate for Payer: Multiplan Commercial |
$19,138.50
|
| Rate for Payer: Networks By Design Commercial |
$16,586.70
|
| Rate for Payer: Prime Health Services Commercial |
$21,690.30
|
|
|
HC TRLUML BLLN ANGIO INIT VEIN
|
Facility
OP
|
$25,518.00
|
|
|
Service Code
|
CPT 37248
|
| Hospital Charge Code |
909037248
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$2,212.08 |
| Max. Negotiated Rate |
$27,445.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$7,141.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| 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 |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$7,830.00
|
| Rate for Payer: BCBS Transplant Transplant |
$15,310.80
|
| Rate for Payer: Blue Shield of California Commercial |
$3,079.84
|
| Rate for Payer: Blue Shield of California EPN |
$2,212.08
|
| Rate for Payer: Caremore Medicare Advantage |
$7,141.35
|
| Rate for Payer: Cash Price |
$11,483.10
|
| Rate for Payer: Cash Price |
$11,483.10
|
| Rate for Payer: Central Health Plan Commercial |
$20,414.40
|
| Rate for Payer: Cigna of CA PPO |
$18,883.32
|
| 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 |
$21,690.30
|
| Rate for Payer: Global Benefits Group Commercial |
$15,310.80
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,966.20
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$19,138.50
|
| 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 |
$17,020.51
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,141.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$5,103.60
|
| 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 |
$19,138.50
|
| Rate for Payer: Networks By Design Commercial |
$16,586.70
|
| Rate for Payer: Prime Health Services Commercial |
$21,690.30
|
| Rate for Payer: Prime Health Services Medicare |
$7,569.83
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$15,310.80
|
| Rate for Payer: Riverside University Health MISP |
$7,855.48
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$15,310.80
|
| Rate for Payer: United Healthcare All Other Commercial |
$16,813.00
|
| Rate for Payer: United Healthcare All Other HMO |
$27,445.00
|
| Rate for Payer: United Healthcare HMO Rider |
$17,214.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$15,742.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$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 TRMNT ANGER-PROBLEM SOLVING
|
Facility
OP
|
$325.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804064
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$65.00 |
| Max. Negotiated Rate |
$610.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$111.37
|
| Rate for Payer: Aetna of CA HMO/PPO |
$251.56
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$167.06
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$122.51
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$111.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$157.36
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$192.01
|
| Rate for Payer: BCBS Transplant Transplant |
$195.00
|
| Rate for Payer: Blue Shield of California Commercial |
$204.42
|
| Rate for Payer: Blue Shield of California EPN |
$158.92
|
| Rate for Payer: Caremore Medicare Advantage |
$111.37
|
| Rate for Payer: Cash Price |
$146.25
|
| Rate for Payer: Cash Price |
$146.25
|
| Rate for Payer: Cash Price |
$146.25
|
| Rate for Payer: Central Health Plan Commercial |
$260.00
|
| Rate for Payer: Cigna of CA HMO |
$208.00
|
| Rate for Payer: Cigna of CA PPO |
$240.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$167.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$150.35
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$111.37
|
| Rate for Payer: EPIC Health Plan Transplant |
$111.37
|
| Rate for Payer: Galaxy Health WC |
$276.25
|
| Rate for Payer: Global Benefits Group Commercial |
$195.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$292.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$243.75
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$182.65
|
| Rate for Payer: IEHP medi-cal |
$183.76
|
| Rate for Payer: IEHP Medicare Advantage |
$111.37
|
| Rate for Payer: Innovage PACE Commercial |
$167.06
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$216.78
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$111.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$65.00
|
| Rate for Payer: Managed Health Network (MHN) Behavioral |
$610.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$149.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$149.24
|
| Rate for Payer: Multiplan Commercial |
$243.75
|
| Rate for Payer: Networks By Design Commercial |
$211.25
|
| Rate for Payer: Prime Health Services Commercial |
$276.25
|
| Rate for Payer: Prime Health Services Medicare |
$118.05
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$195.00
|
| Rate for Payer: Riverside University Health MISP |
$122.51
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$195.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$195.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$162.50
|
| Rate for Payer: United Healthcare All Other HMO |
$162.50
|
| Rate for Payer: United Healthcare HMO Rider |
$162.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$162.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$167.06
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$122.51
|
| Rate for Payer: Vantage Medical Group Senior |
$111.37
|
|
|
HC TRMNT ANGER-PROBLEM SOLVING
|
Facility
IP
|
$325.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804064
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$65.00 |
| Max. Negotiated Rate |
$292.50 |
| Rate for Payer: Cash Price |
$146.25
|
| Rate for Payer: Central Health Plan Commercial |
$260.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$130.00
|
| Rate for Payer: Galaxy Health WC |
$276.25
|
| Rate for Payer: Global Benefits Group Commercial |
$195.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$292.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$216.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$65.00
|
| Rate for Payer: Multiplan Commercial |
$243.75
|
| Rate for Payer: Networks By Design Commercial |
$211.25
|
| Rate for Payer: Prime Health Services Commercial |
$276.25
|
|
|
HC TRMNT ED HEALTH EDUCATION
|
Facility
OP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804147
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$67.00 |
| Max. Negotiated Rate |
$610.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$111.37
|
| Rate for Payer: Aetna of CA HMO/PPO |
$251.56
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$167.06
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$122.51
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$111.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$162.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$197.92
|
| Rate for Payer: BCBS Transplant Transplant |
$201.00
|
| Rate for Payer: Blue Shield of California Commercial |
$210.72
|
| Rate for Payer: Blue Shield of California EPN |
$163.82
|
| Rate for Payer: Caremore Medicare Advantage |
$111.37
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Central Health Plan Commercial |
$268.00
|
| Rate for Payer: Cigna of CA HMO |
$214.40
|
| Rate for Payer: Cigna of CA PPO |
$247.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$167.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$150.35
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$111.37
|
| Rate for Payer: EPIC Health Plan Transplant |
$111.37
|
| Rate for Payer: Galaxy Health WC |
$284.75
|
| Rate for Payer: Global Benefits Group Commercial |
$201.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$301.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$251.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$182.65
|
| Rate for Payer: IEHP medi-cal |
$183.76
|
| Rate for Payer: IEHP Medicare Advantage |
$111.37
|
| Rate for Payer: Innovage PACE Commercial |
$167.06
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$223.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$111.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$67.00
|
| Rate for Payer: Managed Health Network (MHN) Behavioral |
$610.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$149.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$149.24
|
| Rate for Payer: Multiplan Commercial |
$251.25
|
| Rate for Payer: Networks By Design Commercial |
$217.75
|
| Rate for Payer: Prime Health Services Commercial |
$284.75
|
| Rate for Payer: Prime Health Services Medicare |
$118.05
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$201.00
|
| Rate for Payer: Riverside University Health MISP |
$122.51
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$201.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$201.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$167.50
|
| Rate for Payer: United Healthcare All Other HMO |
$167.50
|
| Rate for Payer: United Healthcare HMO Rider |
$167.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$167.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$167.06
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$122.51
|
| Rate for Payer: Vantage Medical Group Senior |
$111.37
|
|
|
HC TRMNT ED HEALTH EDUCATION
|
Facility
IP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804147
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$67.00 |
| Max. Negotiated Rate |
$301.50 |
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Central Health Plan Commercial |
$268.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$134.00
|
| Rate for Payer: Galaxy Health WC |
$284.75
|
| Rate for Payer: Global Benefits Group Commercial |
$201.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$301.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$223.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$67.00
|
| Rate for Payer: Multiplan Commercial |
$251.25
|
| Rate for Payer: Networks By Design Commercial |
$217.75
|
| Rate for Payer: Prime Health Services Commercial |
$284.75
|
|
|
HC TRMNT ED MENTAL HEALTH EDUCATION
|
Facility
OP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804146
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$67.00 |
| Max. Negotiated Rate |
$610.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$111.37
|
| Rate for Payer: Aetna of CA HMO/PPO |
$251.56
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$167.06
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$122.51
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$111.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$162.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$197.92
|
| Rate for Payer: BCBS Transplant Transplant |
$201.00
|
| Rate for Payer: Blue Shield of California Commercial |
$210.72
|
| Rate for Payer: Blue Shield of California EPN |
$163.82
|
| Rate for Payer: Caremore Medicare Advantage |
$111.37
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Central Health Plan Commercial |
$268.00
|
| Rate for Payer: Cigna of CA HMO |
$214.40
|
| Rate for Payer: Cigna of CA PPO |
$247.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$167.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$150.35
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$111.37
|
| Rate for Payer: EPIC Health Plan Transplant |
$111.37
|
| Rate for Payer: Galaxy Health WC |
$284.75
|
| Rate for Payer: Global Benefits Group Commercial |
$201.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$301.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$251.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$182.65
|
| Rate for Payer: IEHP medi-cal |
$183.76
|
| Rate for Payer: IEHP Medicare Advantage |
$111.37
|
| Rate for Payer: Innovage PACE Commercial |
$167.06
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$223.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$111.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$67.00
|
| Rate for Payer: Managed Health Network (MHN) Behavioral |
$610.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$149.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$149.24
|
| Rate for Payer: Multiplan Commercial |
$251.25
|
| Rate for Payer: Networks By Design Commercial |
$217.75
|
| Rate for Payer: Prime Health Services Commercial |
$284.75
|
| Rate for Payer: Prime Health Services Medicare |
$118.05
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$201.00
|
| Rate for Payer: Riverside University Health MISP |
$122.51
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$201.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$201.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$167.50
|
| Rate for Payer: United Healthcare All Other HMO |
$167.50
|
| Rate for Payer: United Healthcare HMO Rider |
$167.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$167.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$167.06
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$122.51
|
| Rate for Payer: Vantage Medical Group Senior |
$111.37
|
|
|
HC TRMNT ED MENTAL HEALTH EDUCATION
|
Facility
IP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804146
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$67.00 |
| Max. Negotiated Rate |
$301.50 |
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Central Health Plan Commercial |
$268.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$134.00
|
| Rate for Payer: Galaxy Health WC |
$284.75
|
| Rate for Payer: Global Benefits Group Commercial |
$201.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$301.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$223.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$67.00
|
| Rate for Payer: Multiplan Commercial |
$251.25
|
| Rate for Payer: Networks By Design Commercial |
$217.75
|
| Rate for Payer: Prime Health Services Commercial |
$284.75
|
|
|
HC TRMNT ED STRESS MANAGEMENT
|
Facility
IP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804148
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$70.00 |
| Max. Negotiated Rate |
$315.00 |
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Central Health Plan Commercial |
$280.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$140.00
|
| Rate for Payer: Galaxy Health WC |
$297.50
|
| Rate for Payer: Global Benefits Group Commercial |
$210.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$315.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$233.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$70.00
|
| Rate for Payer: Multiplan Commercial |
$262.50
|
| Rate for Payer: Networks By Design Commercial |
$227.50
|
| Rate for Payer: Prime Health Services Commercial |
$297.50
|
|
|
HC TRMNT ED STRESS MANAGEMENT
|
Facility
OP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804148
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$70.00 |
| Max. Negotiated Rate |
$674.93 |
| Rate for Payer: Adventist Health Medi-Cal |
$199.21
|
| Rate for Payer: Aetna of CA HMO/PPO |
$674.93
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$298.82
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$219.13
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$199.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$169.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$206.78
|
| Rate for Payer: BCBS Transplant Transplant |
$210.00
|
| Rate for Payer: Blue Shield of California Commercial |
$220.15
|
| Rate for Payer: Blue Shield of California EPN |
$171.15
|
| Rate for Payer: Caremore Medicare Advantage |
$199.21
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Central Health Plan Commercial |
$280.00
|
| Rate for Payer: Cigna of CA HMO |
$224.00
|
| Rate for Payer: Cigna of CA PPO |
$259.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$298.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$268.93
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$199.21
|
| Rate for Payer: EPIC Health Plan Transplant |
$199.21
|
| Rate for Payer: Galaxy Health WC |
$297.50
|
| Rate for Payer: Global Benefits Group Commercial |
$210.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$315.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$262.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$326.70
|
| Rate for Payer: IEHP medi-cal |
$328.70
|
| Rate for Payer: IEHP Medicare Advantage |
$199.21
|
| Rate for Payer: Innovage PACE Commercial |
$298.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$233.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$199.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$70.00
|
| Rate for Payer: Managed Health Network (MHN) Behavioral |
$610.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$266.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$266.94
|
| Rate for Payer: Multiplan Commercial |
$262.50
|
| Rate for Payer: Networks By Design Commercial |
$227.50
|
| Rate for Payer: Prime Health Services Commercial |
$297.50
|
| Rate for Payer: Prime Health Services Medicare |
$211.16
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$210.00
|
| Rate for Payer: Riverside University Health MISP |
$219.13
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$210.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$210.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$175.00
|
| Rate for Payer: United Healthcare All Other HMO |
$175.00
|
| Rate for Payer: United Healthcare HMO Rider |
$175.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$175.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$298.82
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$219.13
|
| Rate for Payer: Vantage Medical Group Senior |
$199.21
|
|
|
HC TRMNT MENTAL HEALTH EDUCATION
|
Facility
IP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804063
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$67.00 |
| Max. Negotiated Rate |
$301.50 |
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Central Health Plan Commercial |
$268.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$134.00
|
| Rate for Payer: Galaxy Health WC |
$284.75
|
| Rate for Payer: Global Benefits Group Commercial |
$201.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$301.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$223.44
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$67.00
|
| Rate for Payer: Multiplan Commercial |
$251.25
|
| Rate for Payer: Networks By Design Commercial |
$217.75
|
| Rate for Payer: Prime Health Services Commercial |
$284.75
|
|
|
HC TRMNT MENTAL HEALTH EDUCATION
|
Facility
OP
|
$335.00
|
|
|
Service Code
|
CPT 90853
|
| Hospital Charge Code |
907804063
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$67.00 |
| Max. Negotiated Rate |
$610.00 |
| Rate for Payer: Adventist Health Medi-Cal |
$111.37
|
| Rate for Payer: Aetna of CA HMO/PPO |
$251.56
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$167.06
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$122.51
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$111.37
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$162.21
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$197.92
|
| Rate for Payer: BCBS Transplant Transplant |
$201.00
|
| Rate for Payer: Blue Shield of California Commercial |
$210.72
|
| Rate for Payer: Blue Shield of California EPN |
$163.82
|
| Rate for Payer: Caremore Medicare Advantage |
$111.37
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Cash Price |
$150.75
|
| Rate for Payer: Central Health Plan Commercial |
$268.00
|
| Rate for Payer: Cigna of CA HMO |
$214.40
|
| Rate for Payer: Cigna of CA PPO |
$247.90
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$167.06
|
| Rate for Payer: EPIC Health Plan Commercial |
$150.35
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$111.37
|
| Rate for Payer: EPIC Health Plan Transplant |
$111.37
|
| Rate for Payer: Galaxy Health WC |
$284.75
|
| Rate for Payer: Global Benefits Group Commercial |
$201.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$301.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$251.25
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$182.65
|
| Rate for Payer: IEHP medi-cal |
$183.76
|
| Rate for Payer: IEHP Medicare Advantage |
$111.37
|
| Rate for Payer: Innovage PACE Commercial |
$167.06
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$223.44
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$111.37
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$67.00
|
| Rate for Payer: Managed Health Network (MHN) Behavioral |
$610.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$149.24
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$149.24
|
| Rate for Payer: Multiplan Commercial |
$251.25
|
| Rate for Payer: Networks By Design Commercial |
$217.75
|
| Rate for Payer: Prime Health Services Commercial |
$284.75
|
| Rate for Payer: Prime Health Services Medicare |
$118.05
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$201.00
|
| Rate for Payer: Riverside University Health MISP |
$122.51
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$201.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$201.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$167.50
|
| Rate for Payer: United Healthcare All Other HMO |
$167.50
|
| Rate for Payer: United Healthcare HMO Rider |
$167.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$167.50
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$167.06
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$122.51
|
| Rate for Payer: Vantage Medical Group Senior |
$111.37
|
|
|
HC TRMNT SPEECH/LANG/DYSPHAGIA GRP
|
Facility
IP
|
$500.00
|
|
|
Service Code
|
CPT 92508
|
| Hospital Charge Code |
905601501
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$100.00 |
| Max. Negotiated Rate |
$450.00 |
| Rate for Payer: Cash Price |
$225.00
|
| Rate for Payer: Central Health Plan Commercial |
$400.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$200.00
|
| Rate for Payer: Galaxy Health WC |
$425.00
|
| Rate for Payer: Global Benefits Group Commercial |
$300.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$450.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$333.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$100.00
|
| Rate for Payer: Multiplan Commercial |
$375.00
|
| Rate for Payer: Networks By Design Commercial |
$325.00
|
| Rate for Payer: Prime Health Services Commercial |
$425.00
|
|
|
HC TRMNT SPEECH/LANG/DYSPHAGIA GRP
|
Facility
OP
|
$500.00
|
|
|
Service Code
|
CPT 92508
|
| Hospital Charge Code |
905601501
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$134.31 |
| Max. Negotiated Rate |
$450.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$134.31
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$425.00
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$275.00
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$275.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$408.00
|
| Rate for Payer: BCBS Transplant Transplant |
$300.00
|
| Rate for Payer: Blue Shield of California Commercial |
$400.00
|
| Rate for Payer: Blue Shield of California EPN |
$287.00
|
| Rate for Payer: Cash Price |
$225.00
|
| Rate for Payer: Cash Price |
$225.00
|
| Rate for Payer: Cash Price |
$225.00
|
| Rate for Payer: Cash Price |
$225.00
|
| Rate for Payer: Central Health Plan Commercial |
$400.00
|
| Rate for Payer: Cigna of CA HMO |
$320.00
|
| Rate for Payer: Cigna of CA PPO |
$370.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$425.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$200.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$200.00
|
| Rate for Payer: Galaxy Health WC |
$425.00
|
| Rate for Payer: Global Benefits Group Commercial |
$300.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$450.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$375.00
|
| Rate for Payer: IEHP medi-cal |
$175.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$333.50
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$205.00
|
| Rate for Payer: Multiplan Commercial |
$375.00
|
| Rate for Payer: Networks By Design Commercial |
$325.00
|
| Rate for Payer: Prime Health Services Commercial |
$425.00
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$300.00
|
| Rate for Payer: Riverside University Health MISP |
$200.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$300.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$300.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$396.00
|
| Rate for Payer: United Healthcare All Other HMO |
$281.00
|
| Rate for Payer: United Healthcare HMO Rider |
$213.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$196.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$425.00
|
| Rate for Payer: Vantage Medical Group Senior |
$425.00
|
|
|
HC TRMNT SPEECH/LANG/DYSPHAGIA GRP MCAL
|
Facility
OP
|
$665.00
|
|
|
Service Code
|
CPT X4302
|
| Hospital Charge Code |
907000038
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$196.00 |
| Max. Negotiated Rate |
$598.50 |
| Rate for Payer: Aetna of CA HMO/PPO |
$403.85
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$565.25
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$365.75
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$365.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$408.00
|
| Rate for Payer: BCBS Transplant Transplant |
$399.00
|
| Rate for Payer: Blue Shield of California Commercial |
$400.00
|
| Rate for Payer: Blue Shield of California EPN |
$287.00
|
| Rate for Payer: Cash Price |
$299.25
|
| Rate for Payer: Cash Price |
$299.25
|
| Rate for Payer: Cash Price |
$299.25
|
| Rate for Payer: Central Health Plan Commercial |
$532.00
|
| Rate for Payer: Cigna of CA HMO |
$425.60
|
| Rate for Payer: Cigna of CA PPO |
$492.10
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$565.25
|
| Rate for Payer: EPIC Health Plan Commercial |
$266.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$266.00
|
| Rate for Payer: Galaxy Health WC |
$565.25
|
| Rate for Payer: Global Benefits Group Commercial |
$399.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$598.50
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$498.75
|
| Rate for Payer: IEHP medi-cal |
$232.75
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$443.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$272.65
|
| Rate for Payer: Multiplan Commercial |
$498.75
|
| Rate for Payer: Networks By Design Commercial |
$432.25
|
| Rate for Payer: Prime Health Services Commercial |
$565.25
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$399.00
|
| Rate for Payer: Riverside University Health MISP |
$266.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$399.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$399.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$396.00
|
| Rate for Payer: United Healthcare All Other HMO |
$281.00
|
| Rate for Payer: United Healthcare HMO Rider |
$213.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$196.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$565.25
|
| Rate for Payer: Vantage Medical Group Senior |
$565.25
|
|
|
HC TRMNT SPEECH/LANG/DYSPHAGIA GRP MCAL
|
Facility
IP
|
$665.00
|
|
|
Service Code
|
CPT X4302
|
| Hospital Charge Code |
907000038
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$133.00 |
| Max. Negotiated Rate |
$598.50 |
| Rate for Payer: Cash Price |
$299.25
|
| Rate for Payer: Central Health Plan Commercial |
$532.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$266.00
|
| Rate for Payer: Galaxy Health WC |
$565.25
|
| Rate for Payer: Global Benefits Group Commercial |
$399.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$598.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$443.56
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$133.00
|
| Rate for Payer: Multiplan Commercial |
$498.75
|
| Rate for Payer: Networks By Design Commercial |
$432.25
|
| Rate for Payer: Prime Health Services Commercial |
$565.25
|
|
|
HC TRMNT SPEECH/LANG/VOICE INDIV MCAL
|
Facility
OP
|
$860.00
|
|
|
Service Code
|
CPT 92507
|
| Hospital Charge Code |
907000041
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$196.00 |
| Max. Negotiated Rate |
$774.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$405.02
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$731.00
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$473.00
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$473.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$336.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$408.00
|
| Rate for Payer: BCBS Transplant Transplant |
$516.00
|
| Rate for Payer: Blue Shield of California Commercial |
$400.00
|
| Rate for Payer: Blue Shield of California EPN |
$287.00
|
| Rate for Payer: Cash Price |
$387.00
|
| Rate for Payer: Cash Price |
$387.00
|
| Rate for Payer: Cash Price |
$387.00
|
| Rate for Payer: Cash Price |
$387.00
|
| Rate for Payer: Central Health Plan Commercial |
$688.00
|
| Rate for Payer: Cigna of CA HMO |
$550.40
|
| Rate for Payer: Cigna of CA PPO |
$636.40
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$731.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$344.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$344.00
|
| Rate for Payer: Galaxy Health WC |
$731.00
|
| Rate for Payer: Global Benefits Group Commercial |
$516.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$774.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$645.00
|
| Rate for Payer: IEHP medi-cal |
$301.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$573.62
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$352.60
|
| Rate for Payer: Multiplan Commercial |
$645.00
|
| Rate for Payer: Networks By Design Commercial |
$559.00
|
| Rate for Payer: Prime Health Services Commercial |
$731.00
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$516.00
|
| Rate for Payer: Riverside University Health MISP |
$344.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$516.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$516.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$396.00
|
| Rate for Payer: United Healthcare All Other HMO |
$281.00
|
| Rate for Payer: United Healthcare HMO Rider |
$213.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$196.00
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$731.00
|
| Rate for Payer: Vantage Medical Group Senior |
$731.00
|
|
|
HC TRMNT SPEECH/LANG/VOICE INDIV MCAL
|
Facility
IP
|
$860.00
|
|
|
Service Code
|
CPT 92507
|
| Hospital Charge Code |
907000041
|
|
Hospital Revenue Code
|
440
|
| Min. Negotiated Rate |
$172.00 |
| Max. Negotiated Rate |
$774.00 |
| Rate for Payer: Cash Price |
$387.00
|
| Rate for Payer: Central Health Plan Commercial |
$688.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$344.00
|
| Rate for Payer: Galaxy Health WC |
$731.00
|
| Rate for Payer: Global Benefits Group Commercial |
$516.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$774.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$573.62
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$172.00
|
| Rate for Payer: Multiplan Commercial |
$645.00
|
| Rate for Payer: Networks By Design Commercial |
$559.00
|
| Rate for Payer: Prime Health Services Commercial |
$731.00
|
|
|
HC TRMNT STRESS MANAGEMENT
|
Facility
IP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804066
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$70.00 |
| Max. Negotiated Rate |
$315.00 |
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Central Health Plan Commercial |
$280.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$140.00
|
| Rate for Payer: Galaxy Health WC |
$297.50
|
| Rate for Payer: Global Benefits Group Commercial |
$210.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$315.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$233.45
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$70.00
|
| Rate for Payer: Multiplan Commercial |
$262.50
|
| Rate for Payer: Networks By Design Commercial |
$227.50
|
| Rate for Payer: Prime Health Services Commercial |
$297.50
|
|
|
HC TRMNT STRESS MANAGEMENT
|
Facility
OP
|
$350.00
|
|
|
Service Code
|
CPT 90834
|
| Hospital Charge Code |
907804066
|
|
Hospital Revenue Code
|
905
|
| Min. Negotiated Rate |
$70.00 |
| Max. Negotiated Rate |
$674.93 |
| Rate for Payer: Adventist Health Medi-Cal |
$199.21
|
| Rate for Payer: Aetna of CA HMO/PPO |
$674.93
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$298.82
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$219.13
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$199.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$169.47
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$206.78
|
| Rate for Payer: BCBS Transplant Transplant |
$210.00
|
| Rate for Payer: Blue Shield of California Commercial |
$220.15
|
| Rate for Payer: Blue Shield of California EPN |
$171.15
|
| Rate for Payer: Caremore Medicare Advantage |
$199.21
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Cash Price |
$157.50
|
| Rate for Payer: Central Health Plan Commercial |
$280.00
|
| Rate for Payer: Cigna of CA HMO |
$224.00
|
| Rate for Payer: Cigna of CA PPO |
$259.00
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$298.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$268.93
|
| Rate for Payer: EPIC Health Plan Medicare/Senior |
$199.21
|
| Rate for Payer: EPIC Health Plan Transplant |
$199.21
|
| Rate for Payer: Galaxy Health WC |
$297.50
|
| Rate for Payer: Global Benefits Group Commercial |
$210.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$315.00
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$262.50
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$326.70
|
| Rate for Payer: IEHP medi-cal |
$328.70
|
| Rate for Payer: IEHP Medicare Advantage |
$199.21
|
| Rate for Payer: Innovage PACE Commercial |
$298.82
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$233.45
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$199.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$70.00
|
| Rate for Payer: Managed Health Network (MHN) Behavioral |
$610.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$266.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$266.94
|
| Rate for Payer: Multiplan Commercial |
$262.50
|
| Rate for Payer: Networks By Design Commercial |
$227.50
|
| Rate for Payer: Prime Health Services Commercial |
$297.50
|
| Rate for Payer: Prime Health Services Medicare |
$211.16
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$210.00
|
| Rate for Payer: Riverside University Health MISP |
$219.13
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$210.00
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$210.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$175.00
|
| Rate for Payer: United Healthcare All Other HMO |
$175.00
|
| Rate for Payer: United Healthcare HMO Rider |
$175.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$175.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$298.82
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$219.13
|
| Rate for Payer: Vantage Medical Group Senior |
$199.21
|
|
