|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT ART
|
Facility
|
OP
|
$24,620.00
|
|
|
Service Code
|
CPT 37236
|
| Hospital Charge Code |
906811478
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$674.93 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$4,924.00
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,409.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,409.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,581.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| Rate for Payer: Blue Shield of California Commercial |
$5,999.40
|
| Rate for Payer: Blue Shield of California EPN |
$3,914.40
|
| Rate for Payer: Cash Price |
$13,541.00
|
| Rate for Payer: Cash Price |
$13,541.00
|
| Rate for Payer: Cash Price |
$13,541.00
|
| Rate for Payer: Central Health Plan Commercial |
$19,696.00
|
| Rate for Payer: Cigna of CA HMO |
$15,756.80
|
| Rate for Payer: Cigna of CA PPO |
$18,218.80
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,850.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,409.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,452.60
|
| Rate for Payer: EPIC Health Plan Senior |
$14,409.33
|
| Rate for Payer: Galaxy Health WC |
$20,927.00
|
| Rate for Payer: Global Benefits Group Commercial |
$14,772.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,158.00
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23,631.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$674.93
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,409.33
|
| Rate for Payer: InnovAge PACE Commercial |
$21,613.99
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,421.54
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$745.56
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,409.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,924.00
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,308.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,308.50
|
| Rate for Payer: Multiplan Commercial |
$18,465.00
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$16,003.00
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,409.33
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$20,927.00
|
| Rate for Payer: Prime Health Services Medicare |
$15,273.89
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$15,850.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14,772.00
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,409.33
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Vantage Medical Group Senior |
$14,409.33
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT ART
|
Facility
|
IP
|
$24,620.00
|
|
|
Service Code
|
CPT 37236
|
| Hospital Charge Code |
906811478
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,924.00 |
| Max. Negotiated Rate |
$22,158.00 |
| Rate for Payer: Adventist Health Commercial |
$4,924.00
|
| Rate for Payer: Cash Price |
$13,541.00
|
| Rate for Payer: Central Health Plan Commercial |
$19,696.00
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,848.00
|
| Rate for Payer: EPIC Health Plan Senior |
$9,848.00
|
| Rate for Payer: Galaxy Health WC |
$20,927.00
|
| Rate for Payer: Global Benefits Group Commercial |
$14,772.00
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,158.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,421.54
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,380.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,239.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,924.00
|
| Rate for Payer: Multiplan Commercial |
$18,465.00
|
| Rate for Payer: Networks By Design Commercial |
$16,003.00
|
| Rate for Payer: Prime Health Services Commercial |
$20,927.00
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT VEIN
|
Facility
|
OP
|
$22,276.00
|
|
|
Service Code
|
CPT 37238
|
| Hospital Charge Code |
906811480
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$473.22 |
| Max. Negotiated Rate |
$50,447.00 |
| Rate for Payer: Adventist Health Commercial |
$4,455.20
|
| Rate for Payer: Adventist Health Medi-Cal |
$14,409.33
|
| Rate for Payer: Aetna of CA HMO/PPO |
$8,114.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$14,409.33
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$6,419.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$8,581.00
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$22,958.69
|
| Rate for Payer: Blue Shield of California Commercial |
$5,999.40
|
| Rate for Payer: Blue Shield of California EPN |
$3,914.40
|
| Rate for Payer: Cash Price |
$12,251.80
|
| Rate for Payer: Cash Price |
$12,251.80
|
| Rate for Payer: Cash Price |
$12,251.80
|
| Rate for Payer: Central Health Plan Commercial |
$17,820.80
|
| Rate for Payer: Cigna of CA HMO |
$14,256.64
|
| Rate for Payer: Cigna of CA PPO |
$16,484.24
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Dignity Health Medi-Cal |
$15,850.26
|
| Rate for Payer: Dignity Health Medicare Advantage |
$14,409.33
|
| Rate for Payer: EPIC Health Plan Commercial |
$19,452.60
|
| Rate for Payer: EPIC Health Plan Senior |
$14,409.33
|
| Rate for Payer: Galaxy Health WC |
$18,934.60
|
| Rate for Payer: Global Benefits Group Commercial |
$13,365.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$20,048.40
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$23,631.30
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$473.22
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$14,409.33
|
| Rate for Payer: InnovAge PACE Commercial |
$21,613.99
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14,858.09
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$522.75
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$14,409.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,455.20
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$19,308.50
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$19,308.50
|
| Rate for Payer: Multiplan Commercial |
$16,707.00
|
| Rate for Payer: Multiplan WC |
$22,958.69
|
| Rate for Payer: Networks By Design Commercial |
$14,479.40
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$14,409.33
|
| Rate for Payer: Preferred Health Network WC |
$23,427.23
|
| Rate for Payer: Prime Health Services Commercial |
$18,934.60
|
| Rate for Payer: Prime Health Services Medicare |
$15,273.89
|
| Rate for Payer: Prime Health Services WC |
$22,724.41
|
| Rate for Payer: Riverside University Health System MISP |
$15,850.26
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$13,365.60
|
| Rate for Payer: United Healthcare All Other Commercial |
$31,261.00
|
| Rate for Payer: United Healthcare All Other HMO |
$50,447.00
|
| Rate for Payer: United Healthcare HMO Rider |
$32,656.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$30,398.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$14,409.33
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$21,613.99
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$15,850.26
|
| Rate for Payer: Vantage Medical Group Senior |
$14,409.33
|
|
|
HC TRANSCATH PLCMT INT STNT OPEN PERC INIT VEIN
|
Facility
|
IP
|
$22,276.00
|
|
|
Service Code
|
CPT 37238
|
| Hospital Charge Code |
906811480
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$4,455.20 |
| Max. Negotiated Rate |
$20,048.40 |
| Rate for Payer: Adventist Health Commercial |
$4,455.20
|
| Rate for Payer: Cash Price |
$12,251.80
|
| Rate for Payer: Central Health Plan Commercial |
$17,820.80
|
| Rate for Payer: EPIC Health Plan Commercial |
$8,910.40
|
| Rate for Payer: EPIC Health Plan Senior |
$8,910.40
|
| Rate for Payer: Galaxy Health WC |
$18,934.60
|
| Rate for Payer: Global Benefits Group Commercial |
$13,365.60
|
| Rate for Payer: Health Management Network EPO/PPO |
$20,048.40
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$14,858.09
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$8,487.16
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$13,788.84
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,455.20
|
| Rate for Payer: Multiplan Commercial |
$16,707.00
|
| Rate for Payer: Networks By Design Commercial |
$14,479.40
|
| Rate for Payer: Prime Health Services Commercial |
$18,934.60
|
|
|
HC TRANSCATH PULM VALVE IMPLANT
|
Facility
|
OP
|
$74,249.00
|
|
|
Service Code
|
CPT 33477
|
| Hospital Charge Code |
906820256
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$66,824.10 |
| Rate for Payer: Adventist Health Commercial |
$14,849.80
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$63,111.65
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$40,836.95
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$55,686.75
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$35,951.37
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$43,606.44
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$40,836.95
|
| Rate for Payer: Cash Price |
$40,836.95
|
| Rate for Payer: Cash Price |
$40,836.95
|
| Rate for Payer: Central Health Plan Commercial |
$59,399.20
|
| Rate for Payer: Cigna of CA HMO |
$47,519.36
|
| Rate for Payer: Cigna of CA PPO |
$54,944.26
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$63,111.65
|
| Rate for Payer: Dignity Health Medi-Cal |
$63,111.65
|
| Rate for Payer: Dignity Health Medicare Advantage |
$63,111.65
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,699.60
|
| Rate for Payer: EPIC Health Plan Senior |
$29,699.60
|
| Rate for Payer: Galaxy Health WC |
$63,111.65
|
| Rate for Payer: Global Benefits Group Commercial |
$44,549.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$66,824.10
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,919.80
|
| Rate for Payer: InnovAge PACE Commercial |
$37,124.50
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$49,524.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,120.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$45,960.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$14,849.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$51,974.30
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$51,974.30
|
| Rate for Payer: Multiplan Commercial |
$55,686.75
|
| Rate for Payer: Networks By Design Commercial |
$48,261.85
|
| Rate for Payer: Prime Health Services Commercial |
$63,111.65
|
| Rate for Payer: Riverside University Health System MISP |
$29,699.60
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$44,549.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,341.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,460.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,591.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,374.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$63,111.65
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$63,111.65
|
| Rate for Payer: Vantage Medical Group Senior |
$63,111.65
|
|
|
HC TRANSCATH PULM VALVE IMPLANT
|
Facility
|
IP
|
$74,249.00
|
|
|
Service Code
|
CPT 33477
|
| Hospital Charge Code |
906820256
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$14,849.80 |
| Max. Negotiated Rate |
$66,824.10 |
| Rate for Payer: Adventist Health Commercial |
$14,849.80
|
| Rate for Payer: Cash Price |
$40,836.95
|
| Rate for Payer: Central Health Plan Commercial |
$59,399.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$29,699.60
|
| Rate for Payer: EPIC Health Plan Senior |
$29,699.60
|
| Rate for Payer: Galaxy Health WC |
$63,111.65
|
| Rate for Payer: Global Benefits Group Commercial |
$44,549.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$66,824.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$49,524.08
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$28,288.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$45,960.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$14,849.80
|
| Rate for Payer: Multiplan Commercial |
$55,686.75
|
| Rate for Payer: Networks By Design Commercial |
$48,261.85
|
| Rate for Payer: Prime Health Services Commercial |
$63,111.65
|
|
|
HC TRANSCATH PULM VALVE IMPLANT
|
Facility
|
IP
|
$63,112.00
|
|
|
Service Code
|
CPT 33477
|
| Hospital Charge Code |
906811427
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$12,622.40 |
| Max. Negotiated Rate |
$56,800.80 |
| Rate for Payer: Adventist Health Commercial |
$12,622.40
|
| Rate for Payer: Cash Price |
$34,711.60
|
| Rate for Payer: Central Health Plan Commercial |
$50,489.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,244.80
|
| Rate for Payer: EPIC Health Plan Senior |
$25,244.80
|
| Rate for Payer: Galaxy Health WC |
$53,645.20
|
| Rate for Payer: Global Benefits Group Commercial |
$37,867.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$56,800.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$42,095.70
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$24,045.67
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,066.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12,622.40
|
| Rate for Payer: Multiplan Commercial |
$47,334.00
|
| Rate for Payer: Networks By Design Commercial |
$41,022.80
|
| Rate for Payer: Prime Health Services Commercial |
$53,645.20
|
|
|
HC TRANSCATH PULM VALVE IMPLANT
|
Facility
|
OP
|
$63,112.00
|
|
|
Service Code
|
CPT 33477
|
| Hospital Charge Code |
906811427
|
|
Hospital Revenue Code
|
360
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$56,800.80 |
| Rate for Payer: Adventist Health Commercial |
$12,622.40
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$53,645.20
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$34,711.60
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$47,334.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$30,558.83
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$37,065.68
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$34,711.60
|
| Rate for Payer: Cash Price |
$34,711.60
|
| Rate for Payer: Cash Price |
$34,711.60
|
| Rate for Payer: Central Health Plan Commercial |
$50,489.60
|
| Rate for Payer: Cigna of CA HMO |
$40,391.68
|
| Rate for Payer: Cigna of CA PPO |
$46,702.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$53,645.20
|
| Rate for Payer: Dignity Health Medi-Cal |
$53,645.20
|
| Rate for Payer: Dignity Health Medicare Advantage |
$53,645.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$25,244.80
|
| Rate for Payer: EPIC Health Plan Senior |
$25,244.80
|
| Rate for Payer: Galaxy Health WC |
$53,645.20
|
| Rate for Payer: Global Benefits Group Commercial |
$37,867.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$56,800.80
|
| Rate for Payer: Inland Empire Health Plan (IEHP) medi-cal |
$1,919.80
|
| Rate for Payer: InnovAge PACE Commercial |
$31,556.00
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$42,095.70
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,120.70
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$39,066.33
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$12,622.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$44,178.40
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$44,178.40
|
| Rate for Payer: Multiplan Commercial |
$47,334.00
|
| Rate for Payer: Networks By Design Commercial |
$41,022.80
|
| Rate for Payer: Prime Health Services Commercial |
$53,645.20
|
| Rate for Payer: Riverside University Health System MISP |
$25,244.80
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$37,867.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$4,341.00
|
| Rate for Payer: United Healthcare All Other HMO |
$4,460.00
|
| Rate for Payer: United Healthcare HMO Rider |
$2,591.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$2,374.00
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$53,645.20
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$53,645.20
|
| Rate for Payer: Vantage Medical Group Senior |
$53,645.20
|
|
|
HC TRANSCATH RENAL DENERVATION
|
Facility
|
OP
|
$16,312.00
|
|
|
Service Code
|
CPT 0338T
|
| Hospital Charge Code |
906811473
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$3,262.40 |
| Max. Negotiated Rate |
$14,680.80 |
| Rate for Payer: Adventist Health Commercial |
$3,262.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,244.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,244.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$9,901.38
|
| Rate for Payer: Blue Shield of California EPN |
$6,475.86
|
| Rate for Payer: Cash Price |
$8,971.60
|
| Rate for Payer: Cash Price |
$8,971.60
|
| Rate for Payer: Cash Price |
$8,971.60
|
| Rate for Payer: Central Health Plan Commercial |
$13,049.60
|
| Rate for Payer: Cigna of CA HMO |
$10,439.68
|
| Rate for Payer: Cigna of CA PPO |
$12,070.88
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,968.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,244.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,779.87
|
| Rate for Payer: EPIC Health Plan Senior |
$7,244.35
|
| Rate for Payer: Galaxy Health WC |
$13,865.20
|
| Rate for Payer: Global Benefits Group Commercial |
$9,787.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$14,680.80
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,880.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,244.35
|
| Rate for Payer: InnovAge PACE Commercial |
$10,866.52
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10,880.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$6,214.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,244.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,262.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,707.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,707.43
|
| Rate for Payer: Multiplan Commercial |
$12,234.00
|
| Rate for Payer: Networks By Design Commercial |
$10,602.80
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,244.35
|
| Rate for Payer: Prime Health Services Commercial |
$13,865.20
|
| Rate for Payer: Prime Health Services Medicare |
$7,679.01
|
| Rate for Payer: Riverside University Health System MISP |
$7,968.78
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$9,787.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$9,787.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$8,156.00
|
| Rate for Payer: United Healthcare All Other HMO |
$8,156.00
|
| Rate for Payer: United Healthcare HMO Rider |
$8,156.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$8,156.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,244.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Vantage Medical Group Senior |
$7,244.35
|
|
|
HC TRANSCATH RENAL DENERVATION
|
Facility
|
IP
|
$16,312.00
|
|
|
Service Code
|
CPT 0338T
|
| Hospital Charge Code |
906811473
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$3,262.40 |
| Max. Negotiated Rate |
$14,680.80 |
| Rate for Payer: Adventist Health Commercial |
$3,262.40
|
| Rate for Payer: Cash Price |
$8,971.60
|
| Rate for Payer: Central Health Plan Commercial |
$13,049.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$6,524.80
|
| Rate for Payer: EPIC Health Plan Senior |
$6,524.80
|
| Rate for Payer: Galaxy Health WC |
$13,865.20
|
| Rate for Payer: Global Benefits Group Commercial |
$9,787.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$14,680.80
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$10,880.10
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$6,214.87
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$10,097.13
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$3,262.40
|
| Rate for Payer: Multiplan Commercial |
$12,234.00
|
| Rate for Payer: Networks By Design Commercial |
$10,602.80
|
| Rate for Payer: Prime Health Services Commercial |
$13,865.20
|
|
|
HC TRANSCATH RENAL DENERVATION BILATERAL
|
Facility
|
OP
|
$24,467.00
|
|
|
Service Code
|
CPT 0339T
|
| Hospital Charge Code |
906811474
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$3,974.00 |
| Max. Negotiated Rate |
$22,020.30 |
| Rate for Payer: Adventist Health Commercial |
$4,893.40
|
| Rate for Payer: Adventist Health Medi-Cal |
$7,244.35
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$7,244.35
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,974.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$5,311.00
|
| Rate for Payer: Blue Shield of California Commercial |
$14,851.47
|
| Rate for Payer: Blue Shield of California EPN |
$9,713.40
|
| Rate for Payer: Cash Price |
$13,456.85
|
| Rate for Payer: Cash Price |
$13,456.85
|
| Rate for Payer: Cash Price |
$13,456.85
|
| Rate for Payer: Central Health Plan Commercial |
$19,573.60
|
| Rate for Payer: Cigna of CA HMO |
$15,658.88
|
| Rate for Payer: Cigna of CA PPO |
$18,105.58
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Dignity Health Medi-Cal |
$7,968.78
|
| Rate for Payer: Dignity Health Medicare Advantage |
$7,244.35
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,779.87
|
| Rate for Payer: EPIC Health Plan Senior |
$7,244.35
|
| Rate for Payer: Galaxy Health WC |
$20,796.95
|
| Rate for Payer: Global Benefits Group Commercial |
$14,680.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,020.30
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$11,880.73
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$7,244.35
|
| Rate for Payer: InnovAge PACE Commercial |
$10,866.52
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,319.49
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,321.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$7,244.35
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,893.40
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$9,707.43
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$9,707.43
|
| Rate for Payer: Multiplan Commercial |
$18,350.25
|
| Rate for Payer: Networks By Design Commercial |
$15,903.55
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$7,244.35
|
| Rate for Payer: Prime Health Services Commercial |
$20,796.95
|
| Rate for Payer: Prime Health Services Medicare |
$7,679.01
|
| Rate for Payer: Riverside University Health System MISP |
$7,968.78
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$14,680.20
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$14,680.20
|
| Rate for Payer: United Healthcare All Other Commercial |
$12,233.50
|
| Rate for Payer: United Healthcare All Other HMO |
$12,233.50
|
| Rate for Payer: United Healthcare HMO Rider |
$12,233.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$12,233.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$7,244.35
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$10,866.52
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$7,968.78
|
| Rate for Payer: Vantage Medical Group Senior |
$7,244.35
|
|
|
HC TRANSCATH RENAL DENERVATION BILATERAL
|
Facility
|
IP
|
$24,467.00
|
|
|
Service Code
|
CPT 0339T
|
| Hospital Charge Code |
906811474
|
|
Hospital Revenue Code
|
320
|
| Min. Negotiated Rate |
$4,893.40 |
| Max. Negotiated Rate |
$22,020.30 |
| Rate for Payer: Adventist Health Commercial |
$4,893.40
|
| Rate for Payer: Cash Price |
$13,456.85
|
| Rate for Payer: Central Health Plan Commercial |
$19,573.60
|
| Rate for Payer: EPIC Health Plan Commercial |
$9,786.80
|
| Rate for Payer: EPIC Health Plan Senior |
$9,786.80
|
| Rate for Payer: Galaxy Health WC |
$20,796.95
|
| Rate for Payer: Global Benefits Group Commercial |
$14,680.20
|
| Rate for Payer: Health Management Network EPO/PPO |
$22,020.30
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$16,319.49
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$9,321.93
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$15,145.07
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$4,893.40
|
| Rate for Payer: Multiplan Commercial |
$18,350.25
|
| Rate for Payer: Networks By Design Commercial |
$15,903.55
|
| Rate for Payer: Prime Health Services Commercial |
$20,796.95
|
|
|
HC TRANSCATH RMVL DC LEADLESS PMKR RA PM COMPNT
|
Facility
|
IP
|
$7,149.00
|
|
|
Service Code
|
CPT 0799T
|
| Hospital Charge Code |
906819781
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,429.80 |
| Max. Negotiated Rate |
$6,434.10 |
| Rate for Payer: Adventist Health Commercial |
$1,429.80
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Central Health Plan Commercial |
$5,719.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,859.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,859.60
|
| Rate for Payer: Galaxy Health WC |
$6,076.65
|
| Rate for Payer: Global Benefits Group Commercial |
$4,289.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,434.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,768.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,723.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,425.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,429.80
|
| Rate for Payer: Multiplan Commercial |
$5,361.75
|
| Rate for Payer: Networks By Design Commercial |
$4,646.85
|
| Rate for Payer: Prime Health Services Commercial |
$6,076.65
|
|
|
HC TRANSCATH RMVL DC LEADLESS PMKR RA PM COMPNT
|
Facility
|
OP
|
$7,149.00
|
|
|
Service Code
|
CPT 0799T
|
| Hospital Charge Code |
906819781
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$10,567.00 |
| Rate for Payer: Adventist Health Commercial |
$1,429.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$3,999.21
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,998.81
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,399.13
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,999.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,461.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,198.61
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$6,372.03
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Central Health Plan Commercial |
$5,719.20
|
| Rate for Payer: Cigna of CA HMO |
$4,575.36
|
| Rate for Payer: Cigna of CA PPO |
$5,290.26
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,998.81
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,399.13
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,999.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,398.93
|
| Rate for Payer: EPIC Health Plan Senior |
$3,999.21
|
| Rate for Payer: Galaxy Health WC |
$6,076.65
|
| Rate for Payer: Global Benefits Group Commercial |
$4,289.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,434.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,558.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,999.21
|
| Rate for Payer: InnovAge PACE Commercial |
$5,998.81
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,768.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,723.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,999.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,429.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$5,358.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$5,358.94
|
| Rate for Payer: Multiplan Commercial |
$5,361.75
|
| Rate for Payer: Multiplan WC |
$6,372.03
|
| Rate for Payer: Networks By Design Commercial |
$4,646.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,999.21
|
| Rate for Payer: Preferred Health Network WC |
$6,502.07
|
| Rate for Payer: Prime Health Services Commercial |
$6,076.65
|
| Rate for Payer: Prime Health Services Medicare |
$4,239.16
|
| Rate for Payer: Prime Health Services WC |
$6,307.01
|
| Rate for Payer: Riverside University Health System MISP |
$4,399.13
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,289.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,574.50
|
| Rate for Payer: United Healthcare All Other HMO |
$3,574.50
|
| Rate for Payer: United Healthcare HMO Rider |
$3,574.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,574.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$3,999.21
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,998.81
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,399.13
|
| Rate for Payer: Vantage Medical Group Senior |
$3,999.21
|
|
|
HC TRANSCATH RMVL DC LEADLESS PMKR RA RV COMP SYS
|
Facility
|
OP
|
$7,149.00
|
|
|
Service Code
|
CPT 0798T
|
| Hospital Charge Code |
906819780
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$11,071.00 |
| Rate for Payer: Adventist Health Commercial |
$1,429.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$3,999.21
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,071.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,998.81
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,399.13
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,999.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,461.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,198.61
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$6,372.03
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Central Health Plan Commercial |
$5,719.20
|
| Rate for Payer: Cigna of CA HMO |
$4,575.36
|
| Rate for Payer: Cigna of CA PPO |
$5,290.26
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,998.81
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,399.13
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,999.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,398.93
|
| Rate for Payer: EPIC Health Plan Senior |
$3,999.21
|
| Rate for Payer: Galaxy Health WC |
$6,076.65
|
| Rate for Payer: Global Benefits Group Commercial |
$4,289.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,434.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,558.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,999.21
|
| Rate for Payer: InnovAge PACE Commercial |
$5,998.81
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,768.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,723.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,999.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,429.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$5,358.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$5,358.94
|
| Rate for Payer: Multiplan Commercial |
$5,361.75
|
| Rate for Payer: Multiplan WC |
$6,372.03
|
| Rate for Payer: Networks By Design Commercial |
$4,646.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,999.21
|
| Rate for Payer: Preferred Health Network WC |
$6,502.07
|
| Rate for Payer: Prime Health Services Commercial |
$6,076.65
|
| Rate for Payer: Prime Health Services Medicare |
$4,239.16
|
| Rate for Payer: Prime Health Services WC |
$6,307.01
|
| Rate for Payer: Riverside University Health System MISP |
$4,399.13
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,289.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,574.50
|
| Rate for Payer: United Healthcare All Other HMO |
$3,574.50
|
| Rate for Payer: United Healthcare HMO Rider |
$3,574.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,574.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$3,999.21
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,998.81
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,399.13
|
| Rate for Payer: Vantage Medical Group Senior |
$3,999.21
|
|
|
HC TRANSCATH RMVL DC LEADLESS PMKR RA RV COMP SYS
|
Facility
|
IP
|
$7,149.00
|
|
|
Service Code
|
CPT 0798T
|
| Hospital Charge Code |
906819780
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,429.80 |
| Max. Negotiated Rate |
$6,434.10 |
| Rate for Payer: Adventist Health Commercial |
$1,429.80
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Central Health Plan Commercial |
$5,719.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,859.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,859.60
|
| Rate for Payer: Galaxy Health WC |
$6,076.65
|
| Rate for Payer: Global Benefits Group Commercial |
$4,289.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,434.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,768.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,723.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,425.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,429.80
|
| Rate for Payer: Multiplan Commercial |
$5,361.75
|
| Rate for Payer: Networks By Design Commercial |
$4,646.85
|
| Rate for Payer: Prime Health Services Commercial |
$6,076.65
|
|
|
HC TRANSCATH RMVL DC LEADLESS PMKR RA RV PM COMPNT
|
Facility
|
OP
|
$7,149.00
|
|
|
Service Code
|
CPT 0800T
|
| Hospital Charge Code |
906819782
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$10,567.00 |
| Rate for Payer: Adventist Health Commercial |
$1,429.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$3,999.21
|
| Rate for Payer: Aetna of CA HMO/PPO |
$10,567.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$5,998.81
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$4,399.13
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$3,999.21
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$3,461.55
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$4,198.61
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$6,372.03
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Central Health Plan Commercial |
$5,719.20
|
| Rate for Payer: Cigna of CA HMO |
$4,575.36
|
| Rate for Payer: Cigna of CA PPO |
$5,290.26
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$5,998.81
|
| Rate for Payer: Dignity Health Medi-Cal |
$4,399.13
|
| Rate for Payer: Dignity Health Medicare Advantage |
$3,999.21
|
| Rate for Payer: EPIC Health Plan Commercial |
$5,398.93
|
| Rate for Payer: EPIC Health Plan Senior |
$3,999.21
|
| Rate for Payer: Galaxy Health WC |
$6,076.65
|
| Rate for Payer: Global Benefits Group Commercial |
$4,289.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,434.10
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$6,558.70
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$3,999.21
|
| Rate for Payer: InnovAge PACE Commercial |
$5,998.81
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,768.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,723.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$3,999.21
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,429.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$5,358.94
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$5,358.94
|
| Rate for Payer: Multiplan Commercial |
$5,361.75
|
| Rate for Payer: Multiplan WC |
$6,372.03
|
| Rate for Payer: Networks By Design Commercial |
$4,646.85
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$3,999.21
|
| Rate for Payer: Preferred Health Network WC |
$6,502.07
|
| Rate for Payer: Prime Health Services Commercial |
$6,076.65
|
| Rate for Payer: Prime Health Services Medicare |
$4,239.16
|
| Rate for Payer: Prime Health Services WC |
$6,307.01
|
| Rate for Payer: Riverside University Health System MISP |
$4,399.13
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$4,289.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$3,574.50
|
| Rate for Payer: United Healthcare All Other HMO |
$3,574.50
|
| Rate for Payer: United Healthcare HMO Rider |
$3,574.50
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$3,574.50
|
| Rate for Payer: Upland Medical Group Pediatric |
$3,999.21
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$5,998.81
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$4,399.13
|
| Rate for Payer: Vantage Medical Group Senior |
$3,999.21
|
|
|
HC TRANSCATH RMVL DC LEADLESS PMKR RA RV PM COMPNT
|
Facility
|
IP
|
$7,149.00
|
|
|
Service Code
|
CPT 0800T
|
| Hospital Charge Code |
906819782
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$1,429.80 |
| Max. Negotiated Rate |
$6,434.10 |
| Rate for Payer: Adventist Health Commercial |
$1,429.80
|
| Rate for Payer: Cash Price |
$3,931.95
|
| Rate for Payer: Central Health Plan Commercial |
$5,719.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$2,859.60
|
| Rate for Payer: EPIC Health Plan Senior |
$2,859.60
|
| Rate for Payer: Galaxy Health WC |
$6,076.65
|
| Rate for Payer: Global Benefits Group Commercial |
$4,289.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$6,434.10
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$4,768.38
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$2,723.77
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$4,425.23
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$1,429.80
|
| Rate for Payer: Multiplan Commercial |
$5,361.75
|
| Rate for Payer: Networks By Design Commercial |
$4,646.85
|
| Rate for Payer: Prime Health Services Commercial |
$6,076.65
|
|
|
HC TRANSCATH RMVL REPL DC LEADLESS PMKR RA PM COMPNT
|
Facility
|
OP
|
$43,704.00
|
|
|
Service Code
|
CPT 0802T
|
| Hospital Charge Code |
906819784
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$39,740.18 |
| Rate for Payer: Adventist Health Commercial |
$8,740.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$24,231.82
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,071.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$24,231.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,161.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,667.36
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,609.08
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Central Health Plan Commercial |
$34,963.20
|
| Rate for Payer: Cigna of CA HMO |
$27,970.56
|
| Rate for Payer: Cigna of CA PPO |
$32,340.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Dignity Health Medi-Cal |
$26,655.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$24,231.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,712.96
|
| Rate for Payer: EPIC Health Plan Senior |
$24,231.82
|
| Rate for Payer: Galaxy Health WC |
$37,148.40
|
| Rate for Payer: Global Benefits Group Commercial |
$26,222.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$39,333.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$39,740.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,231.82
|
| Rate for Payer: InnovAge PACE Commercial |
$36,347.73
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$29,150.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,651.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,231.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8,740.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,470.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,470.64
|
| Rate for Payer: Multiplan Commercial |
$32,778.00
|
| Rate for Payer: Multiplan WC |
$38,609.08
|
| Rate for Payer: Networks By Design Commercial |
$28,407.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,231.82
|
| Rate for Payer: Preferred Health Network WC |
$39,397.02
|
| Rate for Payer: Prime Health Services Commercial |
$37,148.40
|
| Rate for Payer: Prime Health Services Medicare |
$25,685.73
|
| Rate for Payer: Prime Health Services WC |
$38,215.11
|
| Rate for Payer: Riverside University Health System MISP |
$26,655.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$26,222.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$21,852.00
|
| Rate for Payer: United Healthcare All Other HMO |
$21,852.00
|
| Rate for Payer: United Healthcare HMO Rider |
$21,852.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,852.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$24,231.82
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Vantage Medical Group Senior |
$24,231.82
|
|
|
HC TRANSCATH RMVL REPL DC LEADLESS PMKR RA PM COMPNT
|
Facility
|
IP
|
$43,704.00
|
|
|
Service Code
|
CPT 0802T
|
| Hospital Charge Code |
906819784
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,740.80 |
| Max. Negotiated Rate |
$39,333.60 |
| Rate for Payer: Adventist Health Commercial |
$8,740.80
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Central Health Plan Commercial |
$34,963.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,481.60
|
| Rate for Payer: EPIC Health Plan Senior |
$17,481.60
|
| Rate for Payer: Galaxy Health WC |
$37,148.40
|
| Rate for Payer: Global Benefits Group Commercial |
$26,222.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$39,333.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$29,150.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,651.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,052.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8,740.80
|
| Rate for Payer: Multiplan Commercial |
$32,778.00
|
| Rate for Payer: Networks By Design Commercial |
$28,407.60
|
| Rate for Payer: Prime Health Services Commercial |
$37,148.40
|
|
|
HC TRANSCATH RMVL REPL DC LEADLESS PMKR RA RV
|
Facility
|
OP
|
$43,704.00
|
|
|
Service Code
|
CPT 0801T
|
| Hospital Charge Code |
906819783
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$39,740.18 |
| Rate for Payer: Adventist Health Commercial |
$8,740.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$24,231.82
|
| Rate for Payer: Aetna of CA HMO/PPO |
$9,620.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$24,231.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,161.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,667.36
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,609.08
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Central Health Plan Commercial |
$34,963.20
|
| Rate for Payer: Cigna of CA HMO |
$27,970.56
|
| Rate for Payer: Cigna of CA PPO |
$32,340.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Dignity Health Medi-Cal |
$26,655.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$24,231.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,712.96
|
| Rate for Payer: EPIC Health Plan Senior |
$24,231.82
|
| Rate for Payer: Galaxy Health WC |
$37,148.40
|
| Rate for Payer: Global Benefits Group Commercial |
$26,222.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$39,333.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$39,740.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,231.82
|
| Rate for Payer: InnovAge PACE Commercial |
$36,347.73
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$29,150.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,651.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,231.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8,740.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,470.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,470.64
|
| Rate for Payer: Multiplan Commercial |
$32,778.00
|
| Rate for Payer: Multiplan WC |
$38,609.08
|
| Rate for Payer: Networks By Design Commercial |
$28,407.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,231.82
|
| Rate for Payer: Preferred Health Network WC |
$39,397.02
|
| Rate for Payer: Prime Health Services Commercial |
$37,148.40
|
| Rate for Payer: Prime Health Services Medicare |
$25,685.73
|
| Rate for Payer: Prime Health Services WC |
$38,215.11
|
| Rate for Payer: Riverside University Health System MISP |
$26,655.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$26,222.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$21,852.00
|
| Rate for Payer: United Healthcare All Other HMO |
$21,852.00
|
| Rate for Payer: United Healthcare HMO Rider |
$21,852.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,852.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$24,231.82
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Vantage Medical Group Senior |
$24,231.82
|
|
|
HC TRANSCATH RMVL REPL DC LEADLESS PMKR RA RV
|
Facility
|
IP
|
$43,704.00
|
|
|
Service Code
|
CPT 0801T
|
| Hospital Charge Code |
906819783
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,740.80 |
| Max. Negotiated Rate |
$39,333.60 |
| Rate for Payer: Adventist Health Commercial |
$8,740.80
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Central Health Plan Commercial |
$34,963.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,481.60
|
| Rate for Payer: EPIC Health Plan Senior |
$17,481.60
|
| Rate for Payer: Galaxy Health WC |
$37,148.40
|
| Rate for Payer: Global Benefits Group Commercial |
$26,222.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$39,333.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$29,150.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,651.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,052.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8,740.80
|
| Rate for Payer: Multiplan Commercial |
$32,778.00
|
| Rate for Payer: Networks By Design Commercial |
$28,407.60
|
| Rate for Payer: Prime Health Services Commercial |
$37,148.40
|
|
|
HC TRANSCATH RMVL REPL DC LEADLESS PMKR RV PM COMPNT
|
Facility
|
OP
|
$43,704.00
|
|
|
Service Code
|
CPT 0803T
|
| Hospital Charge Code |
906819785
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$39,740.18 |
| Rate for Payer: Adventist Health Commercial |
$8,740.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$24,231.82
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,071.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$24,231.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,161.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,667.36
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,609.08
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Central Health Plan Commercial |
$34,963.20
|
| Rate for Payer: Cigna of CA HMO |
$27,970.56
|
| Rate for Payer: Cigna of CA PPO |
$32,340.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Dignity Health Medi-Cal |
$26,655.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$24,231.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,712.96
|
| Rate for Payer: EPIC Health Plan Senior |
$24,231.82
|
| Rate for Payer: Galaxy Health WC |
$37,148.40
|
| Rate for Payer: Global Benefits Group Commercial |
$26,222.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$39,333.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$39,740.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,231.82
|
| Rate for Payer: InnovAge PACE Commercial |
$36,347.73
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$29,150.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,651.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,231.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8,740.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,470.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,470.64
|
| Rate for Payer: Multiplan Commercial |
$32,778.00
|
| Rate for Payer: Multiplan WC |
$38,609.08
|
| Rate for Payer: Networks By Design Commercial |
$28,407.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,231.82
|
| Rate for Payer: Preferred Health Network WC |
$39,397.02
|
| Rate for Payer: Prime Health Services Commercial |
$37,148.40
|
| Rate for Payer: Prime Health Services Medicare |
$25,685.73
|
| Rate for Payer: Prime Health Services WC |
$38,215.11
|
| Rate for Payer: Riverside University Health System MISP |
$26,655.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$26,222.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$21,852.00
|
| Rate for Payer: United Healthcare All Other HMO |
$21,852.00
|
| Rate for Payer: United Healthcare HMO Rider |
$21,852.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,852.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$24,231.82
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Vantage Medical Group Senior |
$24,231.82
|
|
|
HC TRANSCATH RMVL REPL DC LEADLESS PMKR RV PM COMPNT
|
Facility
|
IP
|
$43,704.00
|
|
|
Service Code
|
CPT 0803T
|
| Hospital Charge Code |
906819785
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$8,740.80 |
| Max. Negotiated Rate |
$39,333.60 |
| Rate for Payer: Adventist Health Commercial |
$8,740.80
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Central Health Plan Commercial |
$34,963.20
|
| Rate for Payer: EPIC Health Plan Commercial |
$17,481.60
|
| Rate for Payer: EPIC Health Plan Senior |
$17,481.60
|
| Rate for Payer: Galaxy Health WC |
$37,148.40
|
| Rate for Payer: Global Benefits Group Commercial |
$26,222.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$39,333.60
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$29,150.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,651.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$27,052.78
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8,740.80
|
| Rate for Payer: Multiplan Commercial |
$32,778.00
|
| Rate for Payer: Networks By Design Commercial |
$28,407.60
|
| Rate for Payer: Prime Health Services Commercial |
$37,148.40
|
|
|
HC TRANSCATH RMVL REPL SC LEADLESS PMKR RA
|
Facility
|
OP
|
$43,704.00
|
|
|
Service Code
|
CPT 0825T
|
| Hospital Charge Code |
906819775
|
|
Hospital Revenue Code
|
361
|
| Min. Negotiated Rate |
$639.21 |
| Max. Negotiated Rate |
$39,740.18 |
| Rate for Payer: Adventist Health Commercial |
$8,740.80
|
| Rate for Payer: Adventist Health Medi-Cal |
$24,231.82
|
| Rate for Payer: Aetna of CA HMO/PPO |
$11,417.00
|
| Rate for Payer: Alpha Care Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Alpha Care Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Alpha Care Medical Group Medicare Advantage/Dual Product |
$24,231.82
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$21,161.48
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$25,667.36
|
| Rate for Payer: Anthem Blue Cross of CA Workers' Comp |
$38,609.08
|
| Rate for Payer: Blue Shield of California Commercial |
$979.68
|
| Rate for Payer: Blue Shield of California EPN |
$639.21
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Cash Price |
$24,037.20
|
| Rate for Payer: Central Health Plan Commercial |
$34,963.20
|
| Rate for Payer: Cigna of CA HMO |
$27,970.56
|
| Rate for Payer: Cigna of CA PPO |
$32,340.96
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Dignity Health Medi-Cal |
$26,655.00
|
| Rate for Payer: Dignity Health Medicare Advantage |
$24,231.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$32,712.96
|
| Rate for Payer: EPIC Health Plan Senior |
$24,231.82
|
| Rate for Payer: Galaxy Health WC |
$37,148.40
|
| Rate for Payer: Global Benefits Group Commercial |
$26,222.40
|
| Rate for Payer: Health Management Network EPO/PPO |
$39,333.60
|
| Rate for Payer: Heritage Provider Network Commercial/Senior |
$39,740.18
|
| Rate for Payer: Inland Empire Health Plan (IEHP) Medicare Advantage |
$24,231.82
|
| Rate for Payer: InnovAge PACE Commercial |
$36,347.73
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$29,150.57
|
| Rate for Payer: Kaiser Permanente of CA Medi-Cal |
$16,651.22
|
| Rate for Payer: Kaiser Permanente of CA Medicare Advantage |
$24,231.82
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$8,740.80
|
| Rate for Payer: Molina Healthcare of CA Medi-Cal |
$32,470.64
|
| Rate for Payer: Molina Healthcare of CA Medicare |
$32,470.64
|
| Rate for Payer: Multiplan Commercial |
$32,778.00
|
| Rate for Payer: Multiplan WC |
$38,609.08
|
| Rate for Payer: Networks By Design Commercial |
$28,407.60
|
| Rate for Payer: OptumHealth Care Solutions (URN) Medicare Advantage |
$24,231.82
|
| Rate for Payer: Preferred Health Network WC |
$39,397.02
|
| Rate for Payer: Prime Health Services Commercial |
$37,148.40
|
| Rate for Payer: Prime Health Services Medicare |
$25,685.73
|
| Rate for Payer: Prime Health Services WC |
$38,215.11
|
| Rate for Payer: Riverside University Health System MISP |
$26,655.00
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$26,222.40
|
| Rate for Payer: United Healthcare All Other Commercial |
$21,852.00
|
| Rate for Payer: United Healthcare All Other HMO |
$21,852.00
|
| Rate for Payer: United Healthcare HMO Rider |
$21,852.00
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$21,852.00
|
| Rate for Payer: Upland Medical Group Pediatric |
$24,231.82
|
| Rate for Payer: Vantage Medical Group Commercial/Exchange |
$36,347.73
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$26,655.00
|
| Rate for Payer: Vantage Medical Group Senior |
$24,231.82
|
|
