|
HC TUBE TRACH SHILEY 7.6 CUFFLS
|
Facility
IP
|
$342.44
|
|
| Hospital Charge Code |
901603950
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$68.49 |
| Max. Negotiated Rate |
$308.20 |
| Rate for Payer: Cash Price |
$154.10
|
| Rate for Payer: Central Health Plan Commercial |
$273.95
|
| Rate for Payer: EPIC Health Plan Commercial |
$136.98
|
| Rate for Payer: Galaxy Health WC |
$291.07
|
| Rate for Payer: Global Benefits Group Commercial |
$205.46
|
| Rate for Payer: Health Management Network EPO/PPO |
$308.20
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$228.41
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$68.49
|
| Rate for Payer: Multiplan Commercial |
$256.83
|
| Rate for Payer: Networks By Design Commercial |
$222.59
|
| Rate for Payer: Prime Health Services Commercial |
$291.07
|
|
|
HC TUBE TRACH SHILEY 8.5 UNCUFF
|
Facility
OP
|
$409.31
|
|
| Hospital Charge Code |
901698521
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$81.86 |
| Max. Negotiated Rate |
$368.38 |
| Rate for Payer: Aetna of CA HMO/PPO |
$248.57
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$347.91
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$225.12
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$225.12
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$198.19
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$241.82
|
| Rate for Payer: BCBS Transplant Transplant |
$245.59
|
| Rate for Payer: Blue Shield of California Commercial |
$257.46
|
| Rate for Payer: Blue Shield of California EPN |
$200.15
|
| Rate for Payer: Cash Price |
$184.19
|
| Rate for Payer: Central Health Plan Commercial |
$327.45
|
| Rate for Payer: Cigna of CA HMO |
$261.96
|
| Rate for Payer: Cigna of CA PPO |
$302.89
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$347.91
|
| Rate for Payer: EPIC Health Plan Commercial |
$163.72
|
| Rate for Payer: EPIC Health Plan Transplant |
$163.72
|
| Rate for Payer: Galaxy Health WC |
$347.91
|
| Rate for Payer: Global Benefits Group Commercial |
$245.59
|
| Rate for Payer: Health Management Network EPO/PPO |
$368.38
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$306.98
|
| Rate for Payer: IEHP medi-cal |
$143.26
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$273.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$81.86
|
| Rate for Payer: Multiplan Commercial |
$306.98
|
| Rate for Payer: Networks By Design Commercial |
$266.05
|
| Rate for Payer: Prime Health Services Commercial |
$347.91
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$245.59
|
| Rate for Payer: Riverside University Health MISP |
$163.72
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$245.59
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$245.59
|
| Rate for Payer: United Healthcare All Other Commercial |
$204.66
|
| Rate for Payer: United Healthcare All Other HMO |
$204.66
|
| Rate for Payer: United Healthcare HMO Rider |
$204.66
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$204.66
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$347.91
|
| Rate for Payer: Vantage Medical Group Senior |
$347.91
|
|
|
HC TUBE TRACH SHILEY 8.5 UNCUFF
|
Facility
IP
|
$409.31
|
|
| Hospital Charge Code |
901698521
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$81.86 |
| Max. Negotiated Rate |
$368.38 |
| Rate for Payer: Cash Price |
$184.19
|
| Rate for Payer: Central Health Plan Commercial |
$327.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$163.72
|
| Rate for Payer: Galaxy Health WC |
$347.91
|
| Rate for Payer: Global Benefits Group Commercial |
$245.59
|
| Rate for Payer: Health Management Network EPO/PPO |
$368.38
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$273.01
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$81.86
|
| Rate for Payer: Multiplan Commercial |
$306.98
|
| Rate for Payer: Networks By Design Commercial |
$266.05
|
| Rate for Payer: Prime Health Services Commercial |
$347.91
|
|
|
HC TUBE TRACH SHILEY CUFFED SZ10
|
Facility
OP
|
$265.23
|
|
| Hospital Charge Code |
901601129
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.05 |
| Max. Negotiated Rate |
$238.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$161.07
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$225.45
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$145.88
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$145.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$128.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$156.70
|
| Rate for Payer: BCBS Transplant Transplant |
$159.14
|
| Rate for Payer: Blue Shield of California Commercial |
$166.83
|
| Rate for Payer: Blue Shield of California EPN |
$129.70
|
| Rate for Payer: Cash Price |
$119.35
|
| Rate for Payer: Central Health Plan Commercial |
$212.18
|
| Rate for Payer: Cigna of CA HMO |
$169.75
|
| Rate for Payer: Cigna of CA PPO |
$196.27
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$225.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$106.09
|
| Rate for Payer: EPIC Health Plan Transplant |
$106.09
|
| Rate for Payer: Galaxy Health WC |
$225.45
|
| Rate for Payer: Global Benefits Group Commercial |
$159.14
|
| Rate for Payer: Health Management Network EPO/PPO |
$238.71
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$198.92
|
| Rate for Payer: IEHP medi-cal |
$92.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$176.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$53.05
|
| Rate for Payer: Multiplan Commercial |
$198.92
|
| Rate for Payer: Networks By Design Commercial |
$172.40
|
| Rate for Payer: Prime Health Services Commercial |
$225.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$159.14
|
| Rate for Payer: Riverside University Health MISP |
$106.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$159.14
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$159.14
|
| Rate for Payer: United Healthcare All Other Commercial |
$132.62
|
| Rate for Payer: United Healthcare All Other HMO |
$132.62
|
| Rate for Payer: United Healthcare HMO Rider |
$132.62
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$132.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$225.45
|
| Rate for Payer: Vantage Medical Group Senior |
$225.45
|
|
|
HC TUBE TRACH SHILEY CUFFED SZ10
|
Facility
IP
|
$265.23
|
|
| Hospital Charge Code |
901601129
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.05 |
| Max. Negotiated Rate |
$238.71 |
| Rate for Payer: Cash Price |
$119.35
|
| Rate for Payer: Central Health Plan Commercial |
$212.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$106.09
|
| Rate for Payer: Galaxy Health WC |
$225.45
|
| Rate for Payer: Global Benefits Group Commercial |
$159.14
|
| Rate for Payer: Health Management Network EPO/PPO |
$238.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$176.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$53.05
|
| Rate for Payer: Multiplan Commercial |
$198.92
|
| Rate for Payer: Networks By Design Commercial |
$172.40
|
| Rate for Payer: Prime Health Services Commercial |
$225.45
|
|
|
HC TUBE TRACH SHILEY CUFFED SZ4
|
Facility
OP
|
$265.23
|
|
| Hospital Charge Code |
901601126
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.05 |
| Max. Negotiated Rate |
$238.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$161.07
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$225.45
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$145.88
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$145.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$128.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$156.70
|
| Rate for Payer: BCBS Transplant Transplant |
$159.14
|
| Rate for Payer: Blue Shield of California Commercial |
$166.83
|
| Rate for Payer: Blue Shield of California EPN |
$129.70
|
| Rate for Payer: Cash Price |
$119.35
|
| Rate for Payer: Central Health Plan Commercial |
$212.18
|
| Rate for Payer: Cigna of CA HMO |
$169.75
|
| Rate for Payer: Cigna of CA PPO |
$196.27
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$225.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$106.09
|
| Rate for Payer: EPIC Health Plan Transplant |
$106.09
|
| Rate for Payer: Galaxy Health WC |
$225.45
|
| Rate for Payer: Global Benefits Group Commercial |
$159.14
|
| Rate for Payer: Health Management Network EPO/PPO |
$238.71
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$198.92
|
| Rate for Payer: IEHP medi-cal |
$92.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$176.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$53.05
|
| Rate for Payer: Multiplan Commercial |
$198.92
|
| Rate for Payer: Networks By Design Commercial |
$172.40
|
| Rate for Payer: Prime Health Services Commercial |
$225.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$159.14
|
| Rate for Payer: Riverside University Health MISP |
$106.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$159.14
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$159.14
|
| Rate for Payer: United Healthcare All Other Commercial |
$132.62
|
| Rate for Payer: United Healthcare All Other HMO |
$132.62
|
| Rate for Payer: United Healthcare HMO Rider |
$132.62
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$132.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$225.45
|
| Rate for Payer: Vantage Medical Group Senior |
$225.45
|
|
|
HC TUBE TRACH SHILEY CUFFED SZ4
|
Facility
IP
|
$265.23
|
|
| Hospital Charge Code |
901601126
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.05 |
| Max. Negotiated Rate |
$238.71 |
| Rate for Payer: Cash Price |
$119.35
|
| Rate for Payer: Central Health Plan Commercial |
$212.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$106.09
|
| Rate for Payer: Galaxy Health WC |
$225.45
|
| Rate for Payer: Global Benefits Group Commercial |
$159.14
|
| Rate for Payer: Health Management Network EPO/PPO |
$238.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$176.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$53.05
|
| Rate for Payer: Multiplan Commercial |
$198.92
|
| Rate for Payer: Networks By Design Commercial |
$172.40
|
| Rate for Payer: Prime Health Services Commercial |
$225.45
|
|
|
HC TUBE TRACH SHILEY CUFFED SZ 6
|
Facility
OP
|
$265.23
|
|
| Hospital Charge Code |
901601127
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.05 |
| Max. Negotiated Rate |
$238.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$161.07
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$225.45
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$145.88
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$145.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$128.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$156.70
|
| Rate for Payer: BCBS Transplant Transplant |
$159.14
|
| Rate for Payer: Blue Shield of California Commercial |
$166.83
|
| Rate for Payer: Blue Shield of California EPN |
$129.70
|
| Rate for Payer: Cash Price |
$119.35
|
| Rate for Payer: Central Health Plan Commercial |
$212.18
|
| Rate for Payer: Cigna of CA HMO |
$169.75
|
| Rate for Payer: Cigna of CA PPO |
$196.27
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$225.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$106.09
|
| Rate for Payer: EPIC Health Plan Transplant |
$106.09
|
| Rate for Payer: Galaxy Health WC |
$225.45
|
| Rate for Payer: Global Benefits Group Commercial |
$159.14
|
| Rate for Payer: Health Management Network EPO/PPO |
$238.71
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$198.92
|
| Rate for Payer: IEHP medi-cal |
$92.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$176.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$53.05
|
| Rate for Payer: Multiplan Commercial |
$198.92
|
| Rate for Payer: Networks By Design Commercial |
$172.40
|
| Rate for Payer: Prime Health Services Commercial |
$225.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$159.14
|
| Rate for Payer: Riverside University Health MISP |
$106.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$159.14
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$159.14
|
| Rate for Payer: United Healthcare All Other Commercial |
$132.62
|
| Rate for Payer: United Healthcare All Other HMO |
$132.62
|
| Rate for Payer: United Healthcare HMO Rider |
$132.62
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$132.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$225.45
|
| Rate for Payer: Vantage Medical Group Senior |
$225.45
|
|
|
HC TUBE TRACH SHILEY CUFFED SZ 6
|
Facility
IP
|
$265.23
|
|
| Hospital Charge Code |
901601127
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.05 |
| Max. Negotiated Rate |
$238.71 |
| Rate for Payer: Cash Price |
$119.35
|
| Rate for Payer: Central Health Plan Commercial |
$212.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$106.09
|
| Rate for Payer: Galaxy Health WC |
$225.45
|
| Rate for Payer: Global Benefits Group Commercial |
$159.14
|
| Rate for Payer: Health Management Network EPO/PPO |
$238.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$176.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$53.05
|
| Rate for Payer: Multiplan Commercial |
$198.92
|
| Rate for Payer: Networks By Design Commercial |
$172.40
|
| Rate for Payer: Prime Health Services Commercial |
$225.45
|
|
|
HC TUBE TRACH SHILEY CUFFED SZ 8
|
Facility
IP
|
$265.23
|
|
| Hospital Charge Code |
901601128
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.05 |
| Max. Negotiated Rate |
$238.71 |
| Rate for Payer: Cash Price |
$119.35
|
| Rate for Payer: Central Health Plan Commercial |
$212.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$106.09
|
| Rate for Payer: Galaxy Health WC |
$225.45
|
| Rate for Payer: Global Benefits Group Commercial |
$159.14
|
| Rate for Payer: Health Management Network EPO/PPO |
$238.71
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$176.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$53.05
|
| Rate for Payer: Multiplan Commercial |
$198.92
|
| Rate for Payer: Networks By Design Commercial |
$172.40
|
| Rate for Payer: Prime Health Services Commercial |
$225.45
|
|
|
HC TUBE TRACH SHILEY CUFFED SZ 8
|
Facility
OP
|
$265.23
|
|
| Hospital Charge Code |
901601128
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$53.05 |
| Max. Negotiated Rate |
$238.71 |
| Rate for Payer: Aetna of CA HMO/PPO |
$161.07
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$225.45
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$145.88
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$145.88
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$128.42
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$156.70
|
| Rate for Payer: BCBS Transplant Transplant |
$159.14
|
| Rate for Payer: Blue Shield of California Commercial |
$166.83
|
| Rate for Payer: Blue Shield of California EPN |
$129.70
|
| Rate for Payer: Cash Price |
$119.35
|
| Rate for Payer: Central Health Plan Commercial |
$212.18
|
| Rate for Payer: Cigna of CA HMO |
$169.75
|
| Rate for Payer: Cigna of CA PPO |
$196.27
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$225.45
|
| Rate for Payer: EPIC Health Plan Commercial |
$106.09
|
| Rate for Payer: EPIC Health Plan Transplant |
$106.09
|
| Rate for Payer: Galaxy Health WC |
$225.45
|
| Rate for Payer: Global Benefits Group Commercial |
$159.14
|
| Rate for Payer: Health Management Network EPO/PPO |
$238.71
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$198.92
|
| Rate for Payer: IEHP medi-cal |
$92.83
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$176.91
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$53.05
|
| Rate for Payer: Multiplan Commercial |
$198.92
|
| Rate for Payer: Networks By Design Commercial |
$172.40
|
| Rate for Payer: Prime Health Services Commercial |
$225.45
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$159.14
|
| Rate for Payer: Riverside University Health MISP |
$106.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$159.14
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$159.14
|
| Rate for Payer: United Healthcare All Other Commercial |
$132.62
|
| Rate for Payer: United Healthcare All Other HMO |
$132.62
|
| Rate for Payer: United Healthcare HMO Rider |
$132.62
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$132.62
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$225.45
|
| Rate for Payer: Vantage Medical Group Senior |
$225.45
|
|
|
HC TUBE TRACH SHILEY NEO 3.5MM
|
Facility
OP
|
$212.73
|
|
| Hospital Charge Code |
901601205
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.55 |
| Max. Negotiated Rate |
$191.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$129.19
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$180.82
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$117.00
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$117.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$103.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$125.68
|
| Rate for Payer: BCBS Transplant Transplant |
$127.64
|
| Rate for Payer: Blue Shield of California Commercial |
$133.81
|
| Rate for Payer: Blue Shield of California EPN |
$104.02
|
| Rate for Payer: Cash Price |
$95.73
|
| Rate for Payer: Central Health Plan Commercial |
$170.18
|
| Rate for Payer: Cigna of CA HMO |
$136.15
|
| Rate for Payer: Cigna of CA PPO |
$157.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$180.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$85.09
|
| Rate for Payer: EPIC Health Plan Transplant |
$85.09
|
| Rate for Payer: Galaxy Health WC |
$180.82
|
| Rate for Payer: Global Benefits Group Commercial |
$127.64
|
| Rate for Payer: Health Management Network EPO/PPO |
$191.46
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$159.55
|
| Rate for Payer: IEHP medi-cal |
$74.46
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$141.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$42.55
|
| Rate for Payer: Multiplan Commercial |
$159.55
|
| Rate for Payer: Networks By Design Commercial |
$138.27
|
| Rate for Payer: Prime Health Services Commercial |
$180.82
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$127.64
|
| Rate for Payer: Riverside University Health MISP |
$85.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$127.64
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$127.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$106.36
|
| Rate for Payer: United Healthcare All Other HMO |
$106.36
|
| Rate for Payer: United Healthcare HMO Rider |
$106.36
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$106.36
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$180.82
|
| Rate for Payer: Vantage Medical Group Senior |
$180.82
|
|
|
HC TUBE TRACH SHILEY NEO 3.5MM
|
Facility
IP
|
$212.73
|
|
| Hospital Charge Code |
901601205
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.55 |
| Max. Negotiated Rate |
$191.46 |
| Rate for Payer: Cash Price |
$95.73
|
| Rate for Payer: Central Health Plan Commercial |
$170.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$85.09
|
| Rate for Payer: Galaxy Health WC |
$180.82
|
| Rate for Payer: Global Benefits Group Commercial |
$127.64
|
| Rate for Payer: Health Management Network EPO/PPO |
$191.46
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$141.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$42.55
|
| Rate for Payer: Multiplan Commercial |
$159.55
|
| Rate for Payer: Networks By Design Commercial |
$138.27
|
| Rate for Payer: Prime Health Services Commercial |
$180.82
|
|
|
HC TUBE TRACH SHILEY NEO 3MM
|
Facility
IP
|
$212.73
|
|
| Hospital Charge Code |
901601207
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.55 |
| Max. Negotiated Rate |
$191.46 |
| Rate for Payer: Cash Price |
$95.73
|
| Rate for Payer: Central Health Plan Commercial |
$170.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$85.09
|
| Rate for Payer: Galaxy Health WC |
$180.82
|
| Rate for Payer: Global Benefits Group Commercial |
$127.64
|
| Rate for Payer: Health Management Network EPO/PPO |
$191.46
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$141.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$42.55
|
| Rate for Payer: Multiplan Commercial |
$159.55
|
| Rate for Payer: Networks By Design Commercial |
$138.27
|
| Rate for Payer: Prime Health Services Commercial |
$180.82
|
|
|
HC TUBE TRACH SHILEY NEO 3MM
|
Facility
OP
|
$212.73
|
|
| Hospital Charge Code |
901601207
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.55 |
| Max. Negotiated Rate |
$191.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$129.19
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$180.82
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$117.00
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$117.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$103.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$125.68
|
| Rate for Payer: BCBS Transplant Transplant |
$127.64
|
| Rate for Payer: Blue Shield of California Commercial |
$133.81
|
| Rate for Payer: Blue Shield of California EPN |
$104.02
|
| Rate for Payer: Cash Price |
$95.73
|
| Rate for Payer: Central Health Plan Commercial |
$170.18
|
| Rate for Payer: Cigna of CA HMO |
$136.15
|
| Rate for Payer: Cigna of CA PPO |
$157.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$180.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$85.09
|
| Rate for Payer: EPIC Health Plan Transplant |
$85.09
|
| Rate for Payer: Galaxy Health WC |
$180.82
|
| Rate for Payer: Global Benefits Group Commercial |
$127.64
|
| Rate for Payer: Health Management Network EPO/PPO |
$191.46
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$159.55
|
| Rate for Payer: IEHP medi-cal |
$74.46
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$141.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$42.55
|
| Rate for Payer: Multiplan Commercial |
$159.55
|
| Rate for Payer: Networks By Design Commercial |
$138.27
|
| Rate for Payer: Prime Health Services Commercial |
$180.82
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$127.64
|
| Rate for Payer: Riverside University Health MISP |
$85.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$127.64
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$127.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$106.36
|
| Rate for Payer: United Healthcare All Other HMO |
$106.36
|
| Rate for Payer: United Healthcare HMO Rider |
$106.36
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$106.36
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$180.82
|
| Rate for Payer: Vantage Medical Group Senior |
$180.82
|
|
|
HC TUBE TRACH SHILEY NEO 4.0MM
|
Facility
IP
|
$350.00
|
|
| Hospital Charge Code |
901698444
|
|
Hospital Revenue Code
|
272
|
| 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 TUBE TRACH SHILEY NEO 4.0MM
|
Facility
OP
|
$350.00
|
|
| Hospital Charge Code |
901698444
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$70.00 |
| Max. Negotiated Rate |
$315.00 |
| Rate for Payer: Aetna of CA HMO/PPO |
$212.56
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$297.50
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$192.50
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$192.50
|
| 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: 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 |
$297.50
|
| Rate for Payer: EPIC Health Plan Commercial |
$140.00
|
| Rate for Payer: EPIC Health Plan Transplant |
$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: Health Plan of Nevada - Sierra Transplant Other |
$262.50
|
| Rate for Payer: IEHP medi-cal |
$122.50
|
| 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
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$210.00
|
| Rate for Payer: Riverside University Health MISP |
$140.00
|
| 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 Medi-Cal |
$297.50
|
| Rate for Payer: Vantage Medical Group Senior |
$297.50
|
|
|
HC TUBE TRACH SHILEY NEO 4MM
|
Facility
IP
|
$212.73
|
|
| Hospital Charge Code |
901601217
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.55 |
| Max. Negotiated Rate |
$191.46 |
| Rate for Payer: Cash Price |
$95.73
|
| Rate for Payer: Central Health Plan Commercial |
$170.18
|
| Rate for Payer: EPIC Health Plan Commercial |
$85.09
|
| Rate for Payer: Galaxy Health WC |
$180.82
|
| Rate for Payer: Global Benefits Group Commercial |
$127.64
|
| Rate for Payer: Health Management Network EPO/PPO |
$191.46
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$141.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$42.55
|
| Rate for Payer: Multiplan Commercial |
$159.55
|
| Rate for Payer: Networks By Design Commercial |
$138.27
|
| Rate for Payer: Prime Health Services Commercial |
$180.82
|
|
|
HC TUBE TRACH SHILEY NEO 4MM
|
Facility
OP
|
$212.73
|
|
| Hospital Charge Code |
901601217
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$42.55 |
| Max. Negotiated Rate |
$191.46 |
| Rate for Payer: Aetna of CA HMO/PPO |
$129.19
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$180.82
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$117.00
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$117.00
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$103.00
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$125.68
|
| Rate for Payer: BCBS Transplant Transplant |
$127.64
|
| Rate for Payer: Blue Shield of California Commercial |
$133.81
|
| Rate for Payer: Blue Shield of California EPN |
$104.02
|
| Rate for Payer: Cash Price |
$95.73
|
| Rate for Payer: Central Health Plan Commercial |
$170.18
|
| Rate for Payer: Cigna of CA HMO |
$136.15
|
| Rate for Payer: Cigna of CA PPO |
$157.42
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$180.82
|
| Rate for Payer: EPIC Health Plan Commercial |
$85.09
|
| Rate for Payer: EPIC Health Plan Transplant |
$85.09
|
| Rate for Payer: Galaxy Health WC |
$180.82
|
| Rate for Payer: Global Benefits Group Commercial |
$127.64
|
| Rate for Payer: Health Management Network EPO/PPO |
$191.46
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$159.55
|
| Rate for Payer: IEHP medi-cal |
$74.46
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$141.89
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$42.55
|
| Rate for Payer: Multiplan Commercial |
$159.55
|
| Rate for Payer: Networks By Design Commercial |
$138.27
|
| Rate for Payer: Prime Health Services Commercial |
$180.82
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$127.64
|
| Rate for Payer: Riverside University Health MISP |
$85.09
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$127.64
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$127.64
|
| Rate for Payer: United Healthcare All Other Commercial |
$106.36
|
| Rate for Payer: United Healthcare All Other HMO |
$106.36
|
| Rate for Payer: United Healthcare HMO Rider |
$106.36
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$106.36
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$180.82
|
| Rate for Payer: Vantage Medical Group Senior |
$180.82
|
|
|
HC TUBE TRACH SHILEY PEDS 3.5
|
Facility
OP
|
$224.98
|
|
| Hospital Charge Code |
901601131
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.00 |
| Max. Negotiated Rate |
$202.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$136.63
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$191.23
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$123.74
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$123.74
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$108.94
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$132.92
|
| Rate for Payer: BCBS Transplant Transplant |
$134.99
|
| Rate for Payer: Blue Shield of California Commercial |
$141.51
|
| Rate for Payer: Blue Shield of California EPN |
$110.02
|
| Rate for Payer: Cash Price |
$101.24
|
| Rate for Payer: Central Health Plan Commercial |
$179.98
|
| Rate for Payer: Cigna of CA HMO |
$143.99
|
| Rate for Payer: Cigna of CA PPO |
$166.49
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$191.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$89.99
|
| Rate for Payer: EPIC Health Plan Transplant |
$89.99
|
| Rate for Payer: Galaxy Health WC |
$191.23
|
| Rate for Payer: Global Benefits Group Commercial |
$134.99
|
| Rate for Payer: Health Management Network EPO/PPO |
$202.48
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$168.74
|
| Rate for Payer: IEHP medi-cal |
$78.74
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$150.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$45.00
|
| Rate for Payer: Multiplan Commercial |
$168.74
|
| Rate for Payer: Networks By Design Commercial |
$146.24
|
| Rate for Payer: Prime Health Services Commercial |
$191.23
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$134.99
|
| Rate for Payer: Riverside University Health MISP |
$89.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$134.99
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$134.99
|
| Rate for Payer: United Healthcare All Other Commercial |
$112.49
|
| Rate for Payer: United Healthcare All Other HMO |
$112.49
|
| Rate for Payer: United Healthcare HMO Rider |
$112.49
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$112.49
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$191.23
|
| Rate for Payer: Vantage Medical Group Senior |
$191.23
|
|
|
HC TUBE TRACH SHILEY PEDS 3.5
|
Facility
IP
|
$224.98
|
|
| Hospital Charge Code |
901601131
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.00 |
| Max. Negotiated Rate |
$202.48 |
| Rate for Payer: Cash Price |
$101.24
|
| Rate for Payer: Central Health Plan Commercial |
$179.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$89.99
|
| Rate for Payer: Galaxy Health WC |
$191.23
|
| Rate for Payer: Global Benefits Group Commercial |
$134.99
|
| Rate for Payer: Health Management Network EPO/PPO |
$202.48
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$150.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$45.00
|
| Rate for Payer: Multiplan Commercial |
$168.74
|
| Rate for Payer: Networks By Design Commercial |
$146.24
|
| Rate for Payer: Prime Health Services Commercial |
$191.23
|
|
|
HC TUBE TRACH SHILEY PEDS 3MM
|
Facility
OP
|
$206.08
|
|
| Hospital Charge Code |
901601130
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.22 |
| Max. Negotiated Rate |
$185.47 |
| Rate for Payer: Aetna of CA HMO/PPO |
$125.15
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$175.17
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$113.34
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$113.34
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$99.78
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$121.75
|
| Rate for Payer: BCBS Transplant Transplant |
$123.65
|
| Rate for Payer: Blue Shield of California Commercial |
$129.62
|
| Rate for Payer: Blue Shield of California EPN |
$100.77
|
| Rate for Payer: Cash Price |
$92.74
|
| Rate for Payer: Central Health Plan Commercial |
$164.86
|
| Rate for Payer: Cigna of CA HMO |
$131.89
|
| Rate for Payer: Cigna of CA PPO |
$152.50
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$175.17
|
| Rate for Payer: EPIC Health Plan Commercial |
$82.43
|
| Rate for Payer: EPIC Health Plan Transplant |
$82.43
|
| Rate for Payer: Galaxy Health WC |
$175.17
|
| Rate for Payer: Global Benefits Group Commercial |
$123.65
|
| Rate for Payer: Health Management Network EPO/PPO |
$185.47
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$154.56
|
| Rate for Payer: IEHP medi-cal |
$72.13
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$137.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$41.22
|
| Rate for Payer: Multiplan Commercial |
$154.56
|
| Rate for Payer: Networks By Design Commercial |
$133.95
|
| Rate for Payer: Prime Health Services Commercial |
$175.17
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$123.65
|
| Rate for Payer: Riverside University Health MISP |
$82.43
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$123.65
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$123.65
|
| Rate for Payer: United Healthcare All Other Commercial |
$103.04
|
| Rate for Payer: United Healthcare All Other HMO |
$103.04
|
| Rate for Payer: United Healthcare HMO Rider |
$103.04
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$103.04
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$175.17
|
| Rate for Payer: Vantage Medical Group Senior |
$175.17
|
|
|
HC TUBE TRACH SHILEY PEDS 3MM
|
Facility
IP
|
$206.08
|
|
| Hospital Charge Code |
901601130
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$41.22 |
| Max. Negotiated Rate |
$185.47 |
| Rate for Payer: Cash Price |
$92.74
|
| Rate for Payer: Central Health Plan Commercial |
$164.86
|
| Rate for Payer: EPIC Health Plan Commercial |
$82.43
|
| Rate for Payer: Galaxy Health WC |
$175.17
|
| Rate for Payer: Global Benefits Group Commercial |
$123.65
|
| Rate for Payer: Health Management Network EPO/PPO |
$185.47
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$137.46
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$41.22
|
| Rate for Payer: Multiplan Commercial |
$154.56
|
| Rate for Payer: Networks By Design Commercial |
$133.95
|
| Rate for Payer: Prime Health Services Commercial |
$175.17
|
|
|
HC TUBE TRACH SHILEY PEDS 4.5
|
Facility
IP
|
$224.98
|
|
| Hospital Charge Code |
901603785
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.00 |
| Max. Negotiated Rate |
$202.48 |
| Rate for Payer: Cash Price |
$101.24
|
| Rate for Payer: Central Health Plan Commercial |
$179.98
|
| Rate for Payer: EPIC Health Plan Commercial |
$89.99
|
| Rate for Payer: Galaxy Health WC |
$191.23
|
| Rate for Payer: Global Benefits Group Commercial |
$134.99
|
| Rate for Payer: Health Management Network EPO/PPO |
$202.48
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$150.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$45.00
|
| Rate for Payer: Multiplan Commercial |
$168.74
|
| Rate for Payer: Networks By Design Commercial |
$146.24
|
| Rate for Payer: Prime Health Services Commercial |
$191.23
|
|
|
HC TUBE TRACH SHILEY PEDS 4.5
|
Facility
OP
|
$224.98
|
|
| Hospital Charge Code |
901603785
|
|
Hospital Revenue Code
|
272
|
| Min. Negotiated Rate |
$45.00 |
| Max. Negotiated Rate |
$202.48 |
| Rate for Payer: Aetna of CA HMO/PPO |
$136.63
|
| Rate for Payer: AlphaCare Medical Group Commercial/Exchange |
$191.23
|
| Rate for Payer: AlphaCare Medical Group Medi-Cal |
$123.74
|
| Rate for Payer: AlphaCare Medical Group Medicare Advantage/Dual Product |
$123.74
|
| Rate for Payer: Anthem Blue Cross of CA Exchange |
$108.94
|
| Rate for Payer: Anthem Blue Cross of CA HMO/PPO |
$132.92
|
| Rate for Payer: BCBS Transplant Transplant |
$134.99
|
| Rate for Payer: Blue Shield of California Commercial |
$141.51
|
| Rate for Payer: Blue Shield of California EPN |
$110.02
|
| Rate for Payer: Cash Price |
$101.24
|
| Rate for Payer: Central Health Plan Commercial |
$179.98
|
| Rate for Payer: Cigna of CA HMO |
$143.99
|
| Rate for Payer: Cigna of CA PPO |
$166.49
|
| Rate for Payer: Dignity Health Commercial/Exchange |
$191.23
|
| Rate for Payer: EPIC Health Plan Commercial |
$89.99
|
| Rate for Payer: EPIC Health Plan Transplant |
$89.99
|
| Rate for Payer: Galaxy Health WC |
$191.23
|
| Rate for Payer: Global Benefits Group Commercial |
$134.99
|
| Rate for Payer: Health Management Network EPO/PPO |
$202.48
|
| Rate for Payer: Health Plan of Nevada - Sierra Transplant Other |
$168.74
|
| Rate for Payer: IEHP medi-cal |
$78.74
|
| Rate for Payer: Kaiser Permanente of CA Commercial/Self Funded |
$150.06
|
| Rate for Payer: LLUH Dept of Risk Management WC |
$45.00
|
| Rate for Payer: Multiplan Commercial |
$168.74
|
| Rate for Payer: Networks By Design Commercial |
$146.24
|
| Rate for Payer: Prime Health Services Commercial |
$191.23
|
| Rate for Payer: Redlands Yucaipa Medical Group Commercial/Senior |
$134.99
|
| Rate for Payer: Riverside University Health MISP |
$89.99
|
| Rate for Payer: Temecula Valley Physicians Medical Group Commercial |
$134.99
|
| Rate for Payer: TriValley Medical Group Commercial/Senior |
$134.99
|
| Rate for Payer: United Healthcare All Other Commercial |
$112.49
|
| Rate for Payer: United Healthcare All Other HMO |
$112.49
|
| Rate for Payer: United Healthcare HMO Rider |
$112.49
|
| Rate for Payer: United Healthcare Select/Navigate/Core |
$112.49
|
| Rate for Payer: Vantage Medical Group Medi-Cal |
$191.23
|
| Rate for Payer: Vantage Medical Group Senior |
$191.23
|
|
